WO1999029341A2 - Methods for enhancement of protective immume responses employing leishmania polypeptides - Google Patents

Abstract

Methods for eliciting or enhancing immune responses to antigens, including tumor antigens, and/or DNA vaccines are provided. The methods employ polypeptides or nucleic acid compositions that contain at least a biologically active portion of a Leishmania braziliensis or Leishmania major homologue of the eukaryotic initiation factor 4A, or a variant therof. Such polypeptides and compositions are useful for enhancing or eliciting a patient's cellular and/or humoral immune response, for instance within methods for treating tumors.

Description

Description

METHODS FOR ENHANCEMENT OF PROTECTIVE IMMUME RESPONSES EMPLOYING LEISHMANIA POLYPEPTIDES

5 TECHNICAL FIELD

The present invention relates generally to compounds and methods for enhancing immune responses in patients, as well as in isolated cells and cell cultures.

The invention is more particularly related to compounds comprising all or a portion of a

Leishmania antigen that is a homologue of the eukaryotic initiation factor 4A (eIF4A), 0 and to the use of such compounds in vaccines for stimulating immune responses.

BACKGROUND OF THE INVENTION

Vaccines commonly induce immunity to an infection or a disease by generating an immune response in a patient to a specific antigen associated with the 5 infection or disease. Modern techniques for the identification and use of appropriate antigens have the potential to lead to the testing and development of a large number of vaccines specific for common infections (including bacterial, viral and protozoan infections), as well as diseases such as cancer.

However, in many cases, purified antigens are weak immunogens, 0 i.e., the immune response generated by a specific antigen, while directed against the desired target, is not of a sufficient magnitude to confer immunity. In such cases, an immunomodulating agent, such as an adjuvant or immunostimulant, must be employed to enhance the immune response. Adjuvants are substances that enhance a specific immune response to an antigen when injected with the antigen or at the same site as the 5 antigen. Such substances function by a variety of mechanisms, including (1) trapping the antigen, and releasing it slowly, (2) stimulating migration of cells to the injection site, (3) stimulating or trapping lymphocytes, or stimulating lymphocyte proliferation and (4) improving antigen dispersion within the patient's body. For example, oils, polymers, mineral salts and liposomes have been used as adjuvants in this regard. By 0 comparison, immunostimulants are substances that induce a general, temporary increase in a patient's immune response, whether administered with the antigen or separately. Typical immunostimulants are bacterial, such as BCG (an attenuated strain of Mycobacterium tuberculosis) or a nonviable form of Coryne bacterium parvum. By either mechanism, the adjuvant or immunostimulant serves to enhance the desired 5 specific immune response by non-specific means. A serious drawback of many of the adjuvants currently available is their toxicity. In general, the best adjuvants (i.e., those that provide the greatest enhancement of the desired immune response) are also the most toxic. Thus, practitioners must continually balance the level of stimulation against the toxicity of the adjuvant. Accordingly, there is a need in the art for the identification of compounds that provide a desired enhancement of specific immune responses, but with low levels of toxicity. The present invention fulfills these needs and further provides other related advantages.

SUMMARY OF THE INVENTION

Briefly stated, the present invention provides compounds and methods relating to the Leishmania antigen LbeIF4A or LmeIF4A, which is homologous to the eukaryotic ribosomal protein eIF4A. In one aspect of the invention, methods are provided for enhancing or eliciting an immune response to an antigen and/or an antigen encoded by a DNA vaccine in a patient, comprising administering to a patient an antigen and/or a DNA vaccine, and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of: (a) nucleotides 115-1323 of SEQ ID NO. 1; and (b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115-1323 of SEQ ID NO. 1 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in a peripheral blood mononuclear cells obtained from a Leishmania-infected individual. In another aspect of the invention, methods are provided for enhancing or eliciting an immune response to an antigen and/or an antigen encoded by a DNA vaccine, in a patient, comprising administering to a patient an antigen and/or a DNA vaccine, and an LmeIF4A polypeptide comprising .an .amino acid sequence encoded by a DNA sequence selected from the group consisting of: (a) nucleotides 117 through 1325 of SEQ ID NO:3; and (b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO: 3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-m^' fected individual.

In related aspects, the present invention provides methods for enhancing an immune response to an antigen and/or an antigen encoded by a DNA vaccine in a patient, comprising administering to a patient an antigen and/or a DNA vaccine, and an LbeIF4A polypeptide comprising amino acids 49-403 of SEQ ID NO: 2, or a variant thereof that differs only in conservative substitutions and/or modifications, or an antigen and/or a DNA vaccine and an LmeIF4A polypeptide comprising amino acids 49-403 of SEQ ID NO: 4, or a variant thereof that differs only in conservative substitutions and/or modifications.

In another related aspect, methods are provided for enhancing an immune response in a biological sample, comprising contacting a biological sample with an antigen and/or an antigen encoded by a DNA vaccine, and an LbeIF4A polypeptide as described above, wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells, and combinations thereof. In yet another related aspect, methods are provided for enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with an LmeIF4A polypeptide as described above, wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof. In another aspect, methods are provided for enhancing an immune response to a tumor in a patient, comprising administering to a patient a tumor antigen or antigens and/or a DNA vaccine, and an LbeIF4A or an LmeIF4A polypeptide as described above.

Within further aspects, methods are provided for treating a tumor in a patient, comprising administering to a patient an LbeIF4A or LmeIF4A polypeptide, as described above.

Within each of the aspects noted above, as an alternative to utilizing an LbeIF4A or LmeIF4A polypeptide, one can utilize viral vectors or nucleic acid molecules (collectively, the "nucleic acid compositions") directing the expression of the polypeptide in patient cells infected or transfected with the nucleic acid compositions. The step of administering the nucleic acid composition may be performed in vivo or ex vivo, the latter including the subsequent administration of the infected/transfected cells. In addition, where an antigen or tumor antigen is administered, it will be evident that the nucleic acid composition may also be designed to direct the expression of such antigens (either on the same or different vectors or molecules).

Within further aspects, methods are provided for treating a Th2-mediated disease in a patient, comprising administering to a patient (a) an LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector. Th2 -mediated diseases include asthma, allergy, Th2 mediated autoimmune disease and Helminth infection.

The present invention further provides methods for decreasing production of one or more Th2-associated cytokines in a patient, comprising administering to a patient (a) an LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector. Within certain embodiments, the Th2-associated cytokine is IL-4 or IL-5. Methods for stimulating or enhancing IL-18 production in a patient are also provided, comprising administering to a patient (a) an LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector. Within further aspects, methods are provided for enhancing or eliciting an immune response to an antigen in a biological sample, comprising contacting a biological sample with an LeIF4A polypeptide in combination with one or more Thl- associated cytokines.

The present invention also provides method for enhancing or eliciting an immune response to an antigen in a patient, comprising administering to a patient one or more Thl -associated cytokines in combination with (a) an LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector. The Thl- associated cytokines may be IL-2, IL- 12, IL- 15 and/or IL- 18.

These and other aspects of the present invention will become apparent upon reference to the following detailed description and attached drawings. All references disclosed herein are hereby incorporated by reference in their entirety as if each was incorporated individually.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1 presents the results of Southern blot analysis of Leishmania spp. DNA, indicating that the Leishmania eIF4A homologue is conserved and that L. braziliensis genomic DNA contains at least two copies of LbeIF4A. Figure 2 shows the results of an immunoblot analysis which demonstrates that LbeIF4A immune rabbit serum reacts with one dominant protein species of size ~45 kDa in different Leishmania species.

Figure 3 illustrates the ability of purified recombinant LbeIF4A to stimulate proliferation of PBMCs from L. braziliensis-infected individuals.

Figures 4A and 4B present the results obtained by analysis of cytokine mRNA expression patterns of PBMCs from patients with confirmed cases of L. braziliensis infection.

Figure 5 illustrates the supernatant levels of secreted IFN-γ from PBMCs from L. braziliensis-infected individuals following stimulation with LbeIF4A or parasite lysate.

Figure 6 shows the levels of TNF- detected in the supernatants of PBMCs from L. braziliensis-infected individuals following stimulation with LbeIF4A or parasite lysate. Figure 7, Panels A-D, shows that LbeIF4A also stimulates patient

PBMCs to secrete IL-12 in the cultured supernatant with a magnitude significantly higher than the IL-12 level stimulated by parasite lysate and that IL-10 inhibits this IL- 12 production.

Figure 8, Panels A and B, demonstrates that in all patient PBMCs tested, IFN-γ production was IL- 12 dependent and inhibited by IL- 10.

Figures 9 A and 9B show that LbeIF4A stimulates IL-12 production in cultured human macrophages and adherent PBMCs.

Figure 10 indicates that LbeIF4A stimulates IL-12 p40 production in the human myeloid leukemia cell-line, THP-1, and synergizes with IFN-γ to stimulate THP- 1 cells to secrete IL-12.

Figure 11 presents results that indicate that lymph node cells of mice primed with LbeIF4A proliferate and secrete an almost exclusive Thl cytokine profile.

Figure 12 demonstrates that LbeIF4A provides significant protection against L. major infection in an animal model recognized as having relevance to human disease.

Figure 13 illustrates the elicitation of anti-ovalbumin CTL using a representative LmeIF4A polypeptide.

Figure 14 illustrates the use of a representative LmeIF4A polypeptide as an adjuvant for the induction of antibodies specific for trinitrophenol. Figure 15 shows the enhancement of anti-MUC-1 antibody production by a representative LmeIF4A polypeptide. Figure 16 illustrates the enhancement of specific CTL activity by a representative LmeIF4A polypeptide in cultured cells.

Figure 17 shows the in vitro stimulation of CTL activity with IL-2, with and without an LmeIF4A polypeptide. Figure 18 illustrates the induction of murine alloreactive CTL by an

LmeIF4A polypeptide.

Figure 19 shows tumor regression following administration of tumor antigen and LmeIF4A polypeptide contained in microspheres.

Figure 20 shows tumor regression following administration of tumor antigen and LmeIF4A polypeptide contained in microspheres.

Figure 21 shows tumor regression following administration of soluble LmeIF4A polypeptide and tumor antigen contained in microspheres.

Figure 22 presents a comparison of the predicted amino acid sequences of L. major eIF4A (LmelF), with the homologous proteins from L. brazilienses (LbelF), mouse (MelF) and human (HelF). Positions of identical residues to LmelF are shaded black. Boxed sequences represent identity between the mouse and human proteins that are distinct from the Leishmania homologue or conservative substitutions. Regions of similarity with conserved elements found in RNA helicases are indicated (I- VI). I and II (DEAD) represent specialized versions of the A and B motifs described in other ATP binding proteins. Cysteine residues are indicated by * and potential N-linked glycosylation sites are underlined.

Figures 23 A-C illustrate the expression and purification of recombinant

LmelF. Figure 23A is a photograph of coomassie blue-stained 12% SDS-PAGE of E. coli lysates before (lane 1) and after (lane 2) induction with IPTG to express rLelF with 6 amino-terminal histidine tag residues. rLmelF following purification from the inclusion body by affinity chromatigraphy on Ni-NTA column is shown in lane 3.

Figure 23B is a photograph of coomassie blue-stained 12% SDS-PAGE of overlapping

LeIF deletions. The recombinant clones were designed to encode the N-terminal half

(26 kDa, residues 1-226, lane 1), the middle portion (16 kDa, residues 129-261, lane 2) and the C-terminal half (25 kDa, residues 196-403) of LeIF with six His-tag residues and the proteins purified over NiNTA resin. Protein molecular weight markers (lane M) are indicated to the left. Figure 23 C is a schematic representation of the full length cDNA clone of L. major LeIF comprising of a 0J3 kb sequence of 5' untranslated

(5'UTR) segment, an open reading frame of 1.209 kb coding for 403 amino acid long protein, and a 1.25 kb of 3' UTR terminating with a stretch of poly A tail. The arrows below show the location and sizes of both the full-length and overlapping fragments of the LeIF constructs.

Figures 24A-C are graphs illustrating the analysis of the Thl/Th2 cytokine profile of draining lymph node cells from L. major infected BALB/c mice against rLelF. Draining popliteal lymph node cells (2xl0⁶/ml) isolated at (A) 10 and (B), 28 days of infection were stimulated in vitro with 10 μg/ml each of rLelF or SLA and the supernatants analyzed 72 hours later for the amount of IFN-γ and IL-4. In Figure 24C, L. major infection sera from BALB/c mice (28 day post-infection) were analyzed and titrated for the presence of anti- rLelF or rLmSTIl specific antibody and compared with total promastigote lysate (SLA). Bound antibodies were detected with HRP conjugated goat anti-mouse IgG secondary antibody.

Figure 25 is a histogram illustrating the abrogation of the SLA-induced IL-4 secretion by LeIF. Lymph node cells were obtained from BALB/c mice infected with L. major (4 weeks post-infection) and were stimulated with SLA (10 μg/ml) alone or in the presence of various concentration of LeIF. Cells were cultured for 3 days and supernatants were collected and assayed for the production of IL-4 and IFN-γ by ELISA.

Figure 26 is a histogram illustrating the profile of T cell clones isolated from rLelF or r8E-primed BALB/c mice. Mice were immunized subcutaneously with 70 μg of the respective antigens without adjuvant. Ten days later, their lymph node cells were restimulated in vitro under limiting dilution with the same antigen, irradiated antigen presenting cells and IL-2. The resulting clones were re-stimulated with anti-CD3 mAb and supernatant cytokine patterns of the Thl- (IFN-γ), Th2- (IL-4) or ThO (IFN-γ and IL-4) were determined by ELISA. The result is presented as the percentage of clones expressing a Thl, Th2, or ThO cytokine profile.

Figures 27A-C .are histograms illustrating LeIF stimulation of the production of IFN-γ by splenocytes from naive C3H- and Balb/c-SCID mice. In Figure 27 A, splenocytes from SCID mice of both Balb/c and C3H background were cultured at 2 x 10⁶ per well and stimulated with 10 μg/ml of the indicated antigen. Supernatants were harvested at 12, 24, and 72 hours and assayed for the production of IFN-γ. In Figure 27B assays were performed as above using C3H SCID splenocytes in the presence or absence of anti-lL-12 antibody. Supernatants were harvested at 72 hours. In Figure 27C, stimulation was performed using three overlapping LeIF recombinants comprising amino acid residues 1-226, 129-261 and 196-403 at 2.5, 5.0, and 10 μg/ml in splenocyte cultures from C3H SCID mice. As control, LPS was used at two concentrations, 100 ng and 1 μg/ml. Figure 28 is a photograph depicting the electrophoresis of RT-PCR experiments to determine the presence of various cytokines in SCID mouse splenocytes cultured for 24 hours in the absence (-) or presence (+) of LeIF(10 μg/ml). Primers were specific for β-actin as a control, or for IFN-γ, IL-18 or IL-10, as indicated. Figure 29 is a graph showing the level of IFN-γ in SCID mouse splenocytes stimulated for 72 hours with varying amounts of IL-18 as indicated, in the presence or absence of LeIF (10 μg/ml).

Figure 30 is a graph showing the level of IFN-γ in SCID mouse splenocytes stimulated for 72 hours with varying amounts of IL-18 as indicated, in the presence or absence of LeIF (10 μg/ml), IL-15 (ng/ml) or both.

Figure 31 is a graph showing the level of IFN-γ in SCID mouse splenocytes stimulated for 72 hours with varying amounts of IL-18 as indicated, in the presence or absence of LeIF (10 μg/ml), IL-15 (100 ng/ml) or both.

Figure 32 is a graph illustrating the cytotoxic activity (expressed as % Specific Lysis) of SCID mouse splenocytes stimulated with IL-15 (100 ng/ml), IL-12 (10 U/ml) or both in the presence or absence of LeIF (10 μg/ml) at varying effectoπtarget ratios, as indicated. The target cells were YAC-1 cells.

Figure 33 is a graph illustrating the cytotoxic activity (expressed as % Specific Lysis) of SCID mouse splenocytes stimulated with IL-18 (100 ng/ml), IL-12 (10 U/ml) or both in the presence or absence of LeIF (10 μg/ml) at varying effectoπtarget ratios, as indicated. The target cells were YAC-1 cells.

DETAILED DESCRIPTION OF THE INVENTION

As noted above, the present invention is generally directed to the enh.ancement of immune responses, which may be humoral and/or cell-mediated, in a patient or cell culture. Within the context of this invention, an immune response to an antigen, including an immunostimulating antigen (i.e., an antigen against which a patient raises an immune response), may be initiated or enhanced by administering to the patient the antigen and one or more LbeIF4A-derived or LmeIF4A-derived polypeptides as described herein. Antigens and immunostimulating antigens are in general protein molecules and include molecules derived from viruses, such as HIV, HBV, influenza virus, respiratory syncytial virus, bacteria, such as Hemophilus influenza, Pneumoccocus pneumoniae, and parasites, such as Leishmania, and Trypanosoma. In addition, an immune response to a tumor may be enhanced or elicited by administering to the patient a tumor antigen (i.e., an antigen that stimulates an immune response (e.g., CTL) to a tumor). Within the context of this invention, tumor antigens include virally encoded molecules, MAGE-1, Her-2, PSA, and other molecules. Accordingly, the methods of this invention involve the co-administration of a specific antigen or immunostimulating antigen and an LeIF4A-derived polypeptide as disclosed herein. A tumor may also be treated by administering to the patient an LbeIF4A or LmeIF4A polypeptide in the absence of such an exogenously administered tumor antigen.

The LbeIF4A and LmeIF4A polypeptides of the present invention may also be used to elicit or enhance an immune response to an antigen encoded by a DNA vaccine. DNA vaccines encode one or more immunostimulating antigens, such that the antigen is generated in situ. For instance, the DNA vaccine may encode a tumor antigen and, optionally, an LeIF4A-derived polypeptide as described herein. In such vaccines, the DNA may be present within any of a variety of delivery systems known to those of ordinary skill in the art, including nucleic acid expression systems, bacteria and viral expression systems. Appropriate nucleic acid expression systems contain the necessary DNA sequences for expression in the patient (such as a suitable promoter). Bacterial delivery systems involve the administration of a bacterium (such as Bacillus-Calmette- Guerriή) that expresses an epitope of a prostate cell antigen on its cell surface. The DNA may be introduced using a viral expression system (e.g., vaccinia or other pox virus, retrovirus, or adenovirus), which may involve the use of a non-pathogenic (defective), replication competent virus. Suitable systems are disclosed, for example, in Fisher-Hoch et al, PNAS 5.5:317-321, 1989; Flexner et al, Ann. N Y. Acad. Sci. 5-59:86-103, 1989; Flexner et al, Vaccine 5:17-21, 1990; U.S. Patent Nos. 4,603,112, 4,769,330, and 5,017,487; WO 89/01973; U.S. Patent No. 4,777,127; GB 2,200,651; EP 0,345,242; WO 91/02805; Berkner, Biotechniques 6:616-621, 1988; Rosenfeld et al., Science 252:431-434, 1991; Kolls et al, PNAS 97:215-219, 1994; Kass-Eisler et al., PNAS 90:11498-11502, 1993; Guzman et al., Circulation 55:2838-2848, 1993; and Guzman et al., Cir. Res. 75:1202-1207, 1993. Techniques for incorporating DNA into such expression systems are well known to those of ordinary skill in the art. The DNA may also be "naked," as described, for example, in published PCT application WO 90/11092, and Ulmer et al, Science 259:1745-1749, 1993, reviewed by Cohen, Science 259:1691-1692, 1993. The uptake of naked DNA may be increased by coating the DNA onto biodegradable beads, which are efficiently transported into the cells.

The compounds of this invention generally comprise a polypeptide that stimulates a Thl or CTL (cytotoxic T lymphocyte) immune response in peripheral blood mononuclear cells (PBMCs). In particular, polypeptides comprising all or a stimulatory portion of a Leishmania braziliensis or Leishmania major homologue of the eukaryotic ribosomal protein eIF4A are disclosed. Such proteins may be referred to herein as LbeIF4A and LmeIF4A, or as LbelF and LmelF, respectively. As used herein, the term "PBMCs" refers to preparations of nuclear cells that are present in peripheral blood. The term "polypeptide," in the context of this invention, encompasses amino acid chains of any length, including full length proteins and portions thereof, wherein amino acid residues are linked by covalent peptide bonds. Therefore, an "LbeIF4A polypeptide" comprises LbeIF4A, or a portion or other variant thereof that retains stimulatory activity. Similarly, an "LmeIF4A polypeptide" comprises LmeIF4A, or a portion or other variant thereof that retains stimulatory activity. As used herein, "LeIF4A" or "LeIF" refers to either LbeIF4A or LmeIF4A. Although LbeIF4A is described herein for exemplary purposes, within the context of this invention, LmeIF4A, portions thereof, and variants of the polypeptide (or portions thereof) may also be used. An LeIF4A polypeptide may consist entirely of one or more stimulatory portions of LeIF4A, or the stimulatory portion(s) may be supplied in the context of a larger protein that contains additional LeIF4A sequences and/or amino acid sequences heterologous to LeIF4A. Preferably, the polypeptides are substantially free of contaminating endogenous materials.

The polypeptides of the present invention include variants of LbeIF4A or LmeIF4A that retain the ability to stimulate a Thl or CTL immune response in PBMCs. Such variants include various structural forms of the primary protein. Due to the presence of ionizable amino and carboxyl groups, for example, a LbeIF4A polypeptide may be in the form of an acidic or basic salt, or may be in neutral form. Individual amino acid residues may also be modified by oxidation or reduction.

Variants within the scope of this invention also include polypeptides in which the primary amino acid structure of LeIF4A or a fragment thereof is modified by forming covalent or aggregative conjugates with other polypeptides or chemical moieties such as glycosyl groups, lipids, phosphate, acetyl groups and the like. Covalent derivatives may be prepared, for example, by linking particular functional groups to amino acid side chains or at the N- or C-termini. Alternatively, for derivatives in which a polypeptide is joined to a LeIF4A polypeptide, a fusion protein may be prepared using recombinant DNA techniques, as described below. In one such embodiment, the LeIF4A polypeptide may be conjugated to a signal (or leader) polypeptide sequence at the N-terminal region of the protein which co-translationally or post-translationally directs transfer of the protein from its site of synthesis to its site of function inside or outside of the cell membrane or wall (e.g., the yeast α-factor leader). Protein fusions within the present invention may also comprise peptides added to facilitate purification or identification of LeIF4A polypeptides (e.g., poly-His). For example, the peptide described by Hopp et al., Bio/Technology 6:1204 (1988) is a highly antigenic peptide that can be used to facilitate identification. Such a peptide provides an epitope reversibly bound by a specific monoclonal antibody, enabling rapid assay and facile purification of expressed recombinant protein. The sequence of Hopp et al. is also specifically cleaved by bovine mucosal enterokinase, allowing removal of the peptide from the purified protein. Fusion proteins capped with such peptides may also be resistant to intracellular degradation in E. coli. Protein fusions encompassed by this invention further include, for example, LeIF4A polypeptides linked to an immunoglobulin Fc region. If LbeIF4A fusion proteins are made with both heavy and light chains of an antibody, it is possible to form a protein oligomer with as many as four LbeIF4A protein regions. Also within the scope of the present invention are LbeIF4A polypeptides linked to a leucine zipper domain. Leucine zipper domains are described, for example, in published PCT Application WO 94/10308. LbeIF4A polypeptides comprising leucine zippers may, for example, be oligomeric, dimeric or trimeric. All of the above protein fusions may be prepared by chemical linkage or as fusion proteins, as described below.

Preferred protein fusions include polypeptides that comprise sequences useful for stimulating immunity to infectious pathogens (e.g., antigens). Such sequences may be derived, for example, from viruses, tumor cells, parasites or bacteria.

The present invention also includes LeIF4A polypeptides with or without associated native-pattern glycosylation. Polypeptides expressed in yeast or mammalian expression systems may be similar to or slightly different in molecular weight and glycosylation pattern than the native molecules, depending upon the expression system. For instance, expression of DNA encoding LbeIF4A polypeptides in bacteria such as E. coli provides non-glycosylated molecules. N-glycosylation sites of eukaryotic proteins are characterized by the amino acid triplet Asn-Aj-Z, where A_j is any amino acid except Pro, and Z is Ser or Thr. Variants of LbeIF4A polypeptides having inactivated N- glycosylation sites can be produced by techniques known to those of ordinary skill in the art, such as oligonucleotide synthesis and ligation or site-specific mutagenesis techniques, and are within the scope of this invention. Alternatively, N-linked glycosylation sites can be added to a LbeIF4A polypeptide.

The polypeptides of this invention also include variants of LeIF4A polypeptides that have an amino acid sequence different from the native LeIF4A protein because of one or more deletions, insertions, substitutions or other modifications. Such variants should be substantially homologous to the native LeIF4A and should retain the ability to stimulate a Thl or CTL immune response in PBMCs. "Substantial homology," as used herein, refers to amino acid sequences that may be encoded by DNA sequences that are capable of hybridizing under moderately stringent conditions to a naturally occurring DNA sequence encoding, for instance, LbeIF4A. Suitable moderately stringent conditions include prewashing in a solution of 5 X SSC, 0.5% SDS, 1.0 raM EDTA (pH 8.0); hybridizing at 50°C-65°C, 5 X SSC, overnight; followed by washing twice at 65°C for 20 minutes with each of 2X, 0.5X and 0.2X SSC containing 0.1% SDS). Such hybridizing DNA sequences are also within the scope of this invention. The effect of any such modifications on the activity of a LbeIF4A polypeptide may be readily determined by analyzing the ability of the mutated LbeIF4A peptide to induce a Thl or CTL response using, for example, any of the methods described herein. A preferred variant of LbeIF4A is the Leishmania major homologue of LbeIF4A (LmeIF4A). Generally, amino acid substitutions should be made conservatively; i.e., a substitute amino acid should replace an amino acid that has similar properties, such that one skilled in the art of peptide chemistry would expect the secondary structure and hydropathic nature of the polypeptide to be substantially unchanged. In general, the following groups of amino acids represent conservative changes: (1) ala, pro, gly, glu, asp, gin, asn, ser, thr; (2) cys, ser, tyr, thr; (3) val, ile, leu, met, ala, phe; (4) lys, arg, his; and (5) phe, tyr, trp, his. Variants within the scope of this invention may also, or alternatively, contain other modifications, including the deletion or addition of amino acids, that have minimal influence on the stimulatory properties, secondary structure and hydropathic nature of the polypeptide. In general, fragments of LeIF4A may be constructed by deleting terminal or internal residues or sequences. Additional guidance as to suitable modifications may be obtained by a comparison of the sequence of LeIF4A to the sequences and structures of other eIF4A family members. For example, terminal or internal residues or sequences of LeIF4A not needed for biological activity may be deleted. Cysteine residues may be deleted or replaced with other amino acids to prevent formation of incorrect intramolecular disulfide bridges upon renaturation. Other approaches to mutagenesis involve modification of adjacent dibasic amino acid residues to enhance expression in yeast systems in which KEX2 protease activity is present.

An LeIF4A full length protein may generally be obtained using a genomic or cDNA clone encoding the protein. A genomic sequence that encodes full length LbeIF4A is shown in SEQ ID NO:l, and the deduced amino acid sequence is presented in SEQ ID NO:2. A genomic sequence that encodes full length LmeIF4A is shown in SEQ ID NO:3 and the deduced amino acid sequence in SEQ ID NO:4. Such clones may be isolated by screening an appropriate Leishmania braziliensis or Leishmania major expression library for clones that express antigens that react with sera from a patient afflicted with mucosal leishmaniasis, and then analyzing the reactive antigens for the ability to stimulate proliferative responses and preferential Thl cytokine production in patient T cell assays or for the ability to stimulate a CTL response in patient T cells. The library preparation and screen may generally be performed using methods known to those of ordinary skill in the art, such as methods described in Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratories, Cold Spring Harbor, N.Y., 1989, which is incorporated herein by reference. Briefly, a bacteriophage expression library may be plated and transferred to filters. The filters may then be incubated with serum and a detection reagent. In the context of this invention, a "detection reagent" is any compound capable of binding to the antibody-antigen complex, which may then be detected by any of a variety of means known to those of ordinary skill in the art. Typical detection reagents contain a "binding agent," such as Protein A, Protein G, IgG or a lectin, coupled to a reporter group. Preferred reporter groups include enzymes, substrates, cofactors, inhibitors, dyes, radionuclides, luminescent groups, fluorescent groups and biotin. More preferably, the reporter group is horseradish peroxidase, which may be detected by incubation with a substrate such as tetramethylbenzidine or 2,2'-azino-di-3- ethylbenzthiazoline sulfonic acid. Plaques containing genomic or cDNA sequences that express a protein which binds to an antibody in the serum are isolated and purified by techniques known to those of ordinary skill in the art. Appropriate methods may be found, for example, in Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratories, Cold Spring Harbor, N.Y., 1989.

Patient T cell assays may generally be performed by treating patient PBMCs with the reactive antigens and analyzing the cells for a suitable response. For example, the PBMC supernatant may be assayed for the level of secreted cytokines. Preferably, the cytokine assayed is interferon-γ, interleukin-2, interleukin- 12 (either the p40 subunit or biologically active p70), interleukin- 1 or tumor necrosis factor-α. The cytokines interleukin-4 and interleukin- 10 may also be assayed, since the levels of these representative Th2-type cytokines generally decrease in response to treatment with a polypeptide as described herein. Cytokines may be assayed, for example, using commercially available antibodies specific for the cytokine of interest in an ELISA format, with positive results determined according to the manufacturer's instructions. Suitable antibodies may be obtained, for example, from Chemicon, Temucula, CA and PharMingen, San Diego, CA. Alternatively, the treated PBMCs may be assayed for mRNA encoding one or more of the cytokines interferon-γ, interleukin-2, interleukin- 12 p40 subunit, interleukin- 1 or tumor necrosis factor- , or the PBMCs may be assayed for a proliferative response as described herein. Alternatively, cytokines may be measured by testing PBMC supernatants for cytokine-specific biological activities.

Variants of LeIF4A that retain the ability to stimulate a Thl immune response in PBMCs may generally be identified by modifying the sequence in one or more of the aspects described above and assaying the resulting polypeptide for the ability to stimulate a Thl response. Such assays may generally be performed by treating patient PBMCs with the modified polypeptide and assaying the response, as described above. Naturally occurring variants of LeIF4A may also be isolated from other Leishmania species by, for example, screening an appropriate cDNA or genomic library with a DNA sequence encoding LeIF4A or a variant thereof. The above-described sequence modifications may be introduced using standard recombinant techniques or by automated synthesis of the modified polypeptide. For example, mutations can be introduced at particular loci by synthesizing oligonucleotides containing a mutant sequence, flanked by restriction sites enabling ligation to fragments of the native sequence. Following ligation, the resulting reconstructed sequence encodes an analogue having the desired amino acid insertion, substitution, or deletion.

Alternatively, oligonucleotide-directed site-specific mutagenesis procedures can be employed to provide a gene in which particular codons are altered according to the substitution, deletion, or insertion required. Exemplary methods of making the alterations set forth above are disclosed by Walder et al., Gene 42:133, 1986; Bauer et al., Gene 37:13, 1985; Craik, BioTechniques, January 1985, 12-19; Smith et al., Genetic Engineering: Principles and Methods, Plenum Press, 1981; and U.S. Patent Nos. 4,518,584 and 4,737,462.

Mutations in nucleotide sequences constructed for expression of such LeIF4A polypeptides must, of course, preserve the reading frame of the coding sequences and preferably will not create complementary regions that could hybridize to produce secondary mRNA structures, such as loops or hairpins, which would adversely affect translation of the receptor mRNA. Although a mutation site may be predetermined, it is not necessary that the nature of the mutation per se be predetermined. For example, in order to select for optimum characteristics of mutants at a given site, random mutagenesis may be conducted at the target codon and the expressed LeIF4A protein mutants screened for the desired activity.

Not all mutations in a nucleotide sequence which encodes a LeIF4A protein will be expressed in the final product. For example, nucleotide substitutions may be made to enhance expression, primarily to avoid secondary structure loops in the transcribed mRNA (see, e.g., European Patent Application 75,444A), or to provide codons that are more readily translated by the selected host, such as the well-known E. coli preference codons for E. coli expression.

The polypeptides of the present invention, both naturally occurring and modified, are preferably produced by recombinant DNA methods. Such methods include inserting a DNA sequence encoding a LeIF4A polypeptide into a recombinant expression vector and expressing the DNA sequence in a recombinant microbial, mammalian or insect cell expression system under conditions promoting expression. DNA sequences encoding the polypeptides provided by this invention can be assembled from cDNA fragments and short ohgonucleotide linkers, or from a series of oligonucleotides, to provide a synthetic gene which is capable of being inserted in a recombinant expression vector and expressed in a recombinant transcriptional unit.

Recombinant expression vectors contain a DNA sequence encoding a LeIF4A polypeptide operably linked to suitable transcriptional or translational regulatory elements derived from mammalian, microbial, viral or insect genes. Such regulatory elements include a transcriptional promoter, an optional operator sequence to control transcription, a sequence encoding suitable mRNA ribosomal binding sites, and sequences which control the termination of transcription and translation, as described in detail below. An origin of replication and a selectable marker to facilitate recognition of transformants may additionally be incorporated.

DNA regions are operably linked when they are functionally related to each other. For example, DNA for a signal peptide (secretory leader) is operably linked to DNA for a polypeptide if it is expressed as a precursor which participates in the secretion of the polypeptide; a promoter is operably linked to a coding sequence if it controls the transcription of the sequence; or a ribosome binding site is operably linked to a coding sequence if it is positioned so as to permit translation. Generally, operably linked means contiguous and, in the case of secretory leaders, in reading frame. DNA sequences encoding LeIF4A polypeptides which are to be expressed in a microorganism will preferably contain no introns that could prematurely terminate transcription of DNA into mRNA. Expression vectors for bacterial use may comprise a selectable marker and bacterial origin of replication derived from commercially available plasmids comprising genetic elements of the well known cloning vector pBR322 (ATCC 37017). Such commercial vectors include, for example, pKK223-3 (Pharmacia Fine Chemicals, Uppsala, Sweden) and pGEMl (Promega Biotec, Madison, WI, USA). These pBR322 "backbone" sections are combined with an appropriate promoter and the structural sequence to be expressed. E. coli is typically transformed using derivatives of pBR322, a plasmid derived from an E. coli species (Bolivar et al., Gene 2:95, 1977). pBR322 contains genes for ampicillin and tetracycline resistance and thus provides simple means for identifying transformed cells.

Promoters commonly used in recombinant microbial expression vectors include the β-lactamase (penicillinase) and lactose promoter system (Chang et al., Nature 275:615, 1978; and Goeddel et al, Nature 281:544, 1979), the tryptophan (trp) promoter system (Goeddel et al., Nucl. Acids Res. 5:4057, 1980; and European Patent Application 36,776) and the tac promoter (Maniatis, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory, p.412, 1982). A particularly useful bacterial expression system employs the phage λ P_L promoter and cI857ts thermolabile repressor. Plasmid vectors available from the American Type Culture Collection which incorporate derivatives of the λ P_L promoter include plasmid pHUB2, resident in E. coli strain JMB9 (ATCC 37092) and pPLc28, resident in E. coli RR1 (ATCC 53082).

Suitable promoter sequences in yeast vectors include the promoters for metallothionein, 3-phosphoglycerate kinase (Hitzeman et al., J. Biol. Chem. 255:2073, 1980) or other glycolytic enzymes (Hess et al., J. Adv. Enzyme Reg. 7:149, 1968; and Holland et al., Biochem. 77:4900, 1978), such as enolase, glyceraldehyde-3-phosphate dehydrogenase, hexokinase, pyruvate decarboxylase, phosphofructokinase, glucose- 6-phosphate isomerase, 3 -phosphogly cerate mutase, pyruvate kinase, triosephosphate isomerase, phosphoglucose isomerase, and glucokinase. Suitable vectors and promoters for use in yeast expression are further described in R. Hitzeman et al., European Patent Application 73,657. Preferred yeast vectors can be assembled using DNA sequences from pBR322 for selection and replication in E. coli (Amp^r gene and origin of replication) and yeast DNA sequences including a glucose-repressible ADH2 promoter and α-factor secretion leader. The ADH2 promoter has been described by Russell et al. (J. Biol. Chem. 258:2614, 1982) and Beier et al. (Nαtwre 300:124, 1982). The yeast α-factor leader, which directs secretion of heterologous proteins, can be inserted between the promoter and the structural gene to be expressed (see, e.g., Kurjan et al., Cell 30:933, 1982; and Bitter et al., Proc. Natl. Acad. Sci. USA 57:5330, 1984). The leader sequence may be modified to contain, near its 3' end, one or more useful restriction sites to facilitate fusion of the leader sequence to foreign genes. The transcriptional and translational control sequences in expression vectors to be used in transforming vertebrate cells may be provided by viral sources. For example, commonly used promoters and enhancers are derived from polyoma, adenovirus 2, simian virus 40 (SV40), and human cytomegalovirus. DNA sequences derived from the SV40 viral genome, for example, SV40 origin, early and late promoter, enhancer, splice, and polyadenylation sites may be used to provide the other genetic elements required for expression of a heterologous DNA sequence. The early and late promoters are particularly useful because both are obtained easily from the virus as a fragment which also contains the SV40 viral origin of replication (Fiers et al., Nature 273:113, 1978). Smaller or larger SV40 fragments may also be used, provided the approximately 250 bp sequence extending from the Hind III site toward the Bgl II site located in the viral origin of replication is included. Further, viral genomic promoter, control and/or signal sequences may be utilized, provided such control sequences are compatible with the host cell chosen. Exemplary vectors can be constructed as disclosed by Okayama and Berg, Mo/. Cell. Biol. 5:280, 1983.

A useful system for stable high level expression of mammalian receptor cDNAs in C127 murine mammary epithelial cells can be constructed substantially as described by Cosman et al. (Mol. Immunol. 23:935, 1986). A preferred eukaryotic vector for expression of LbeIF4A protein DNA is pDC406 (McMahan et al, EMBO J. 70:2821, 1991), and includes regulatory sequences derived from SV40, human immunodeficiency virus (HIV), and Epstein-Barr virus (EBV). Other preferred vectors include pDC409 and pDC410, which are derived from pDC406. pDC410 was derived from pDC406 by substituting the EBV origin of replication with sequences encoding the SV40 large T antigen. pDC409 differs from pDC406 in that a Bgl II restriction site outside of the multiple cloning site has been deleted, making the Bgl II site within the multiple cloning site unique. A useful cell line that allows for episomal replication of expression vectors, such as pDC406 and pDC409, which contain the EBV origin of replication, is CV-1/EBNA (ATCC CRL 10478). The CV-L/EBNA cell line was derived by transfection of the CV-1 cell line with a gene encoding Epstein-Barr virus nuclear antigen-I (EBNA-1) and constitutively express EBNA-1 driven from human CMV immediate-early enhancer/promoter. Transformed host cells are cells which have been transformed or transfected with expression vectors constructed using recombinant DNA techniques and which contain sequences encoding a LeIF4A polypeptide of the present invention. Transformed host cells may express the desired LeIF4A polypeptide, but host cells transformed for purposes of cloning or amplifying LeIF4A DNA do not need to express the LeIF4A protein. Expressed LeIF4A proteins will preferably be secreted into the culture supernatant, depending on the DNA selected, but may also be deposited in the cell membrane.

Suitable host cells for expression of recombinant proteins include prokaryotes, yeast or higher eukaryotic cells under the control of appropriate promoters. Prokaryotes include gram negative or gram positive organisms, for example E. coli or Bacilli. Higher eukaryotic cells include established cell lines of insect or mammalian origin as described below. Cell-free translation systems could also be employed to produce LbeIF4A proteins using RNAs derived from the DNA constructs disclosed herein. Appropriate cloning and expression vectors for use with bacterial, fungal, yeast, and mammalian cellular hosts are described, for example, by Pouwels et al., Cloning Vectors: A Laboratory Manual, Elsevier, New York, 1985.

Prokaryotic expression hosts may be used for expression of LeIF4A polypeptides that do not require extensive proteolytic and disulfide processing. Prokaryotic expression vectors generally comprise one or more phenotypic selectable markers, for example a gene encoding proteins conferring antibiotic resistance or supplying an autotrophic requirement, and an origin of replication recognized by the host to ensure amplification within the host. Suitable prokaryotic hosts for transformation include E. coli, Bacillus subtilis, Salmonella typhimurium, and various species within the genera Pseudomonas, Streptomyces, and Staphylococcus, although other hosts may also be employed.

Recombinant LeIF4A polypeptides may also be expressed in yeast hosts, preferably from the Saccharomyces species, such as S. cerevisiae. Yeast of other genera, such as Pichia or Kluyveromyces may also be employed. Yeast vectors will generally contain an origin of replication from the 2μ yeast plasmid or an autonomously replicating sequence (ARS), a promoter, DNA encoding the LeIF4A polypeptide, sequences for polyadenylation and transcription termination and a selection gene. Preferably, yeast vectors will include an origin of replication and selectable marker permitting transformation of both yeast and E. coli, e.g., the ampicillin resistance gene of E. coli and the S. cerevisiae trpl gene, which provides a selection marker for a mutant strain of yeast lacking the ability to grow in tryptophan, and a promoter derived from a highly expressed yeast gene to induce transcription of a structural sequence downstream. The presence of the trpl lesion in the yeast host cell genome then provides an effective environment for detecting transformation by growth in the absence oftryptophan. Suitable yeast transformation protocols are known to those of skill in the art. An exemplary technique described by Hind et al. (Proc. Natl. Acad. Sci. USA 75:1929, 1978), involves selecting for Trp⁺ transformants in a selective medium consisting of 0.67% yeast nitrogen base, 0.5% casamino acids, 2% glucose, 10 mg/ml adenine and 20 mg/ml uracil. Host strains transformed by vectors comprising the ADH2 promoter may be grown for expression in a rich medium consisting of 1% yeast extract, 2% peptone, and 1% glucose supplemented with 80 mg/ml adenine and 80 mg/ml uracil. Derepression of the ADH2 promoter occurs upon exhaustion of medium glucose. Crude yeast supernatants are harvested by filtration and held at 4°C prior to further purification. Various mammalian or insect (e.g., Spodoptera or Trichoplusia) cell culture systems can also be employed to express recombinant protein. Baculovirus systems for production of heterologous proteins in insect cells are reviewed, for example, by Luckow and Summers, Bio/Technology 6:41, 1988. Examples of suitable mammalian host cell lines include the COS-7 lines of monkey kidney cells, described by Gluzman (Cell 25:175, 1981), and other cell lines capable of expressing an appropriate vector including, for example, CV-1/EBNA (ATCC CRL 10478), L cells, C127, 3T3, Chinese hamster ovary (CHO), COS, NS-1, HeLa and BHK cell lines. Mammalian expression vectors may comprise nontranscribed elements such as an origin of replication, a suitable promoter and enhancer linked to the gene to be expressed, and other 5' or 3' flanking nontranscribed sequences, and 5' or 3' nontranslated sequences, such as necessary ribosome binding sites, a polyadenylation site, splice donor and acceptor sites, and transcriptional termination sequences.

Purified LeIF4A polypeptides may be prepared by culturing suitable host/vector systems to express the recombinant translation products of the DNAs of the present invention, which are then purified from culture media or cell extracts. For example, supernatants from systems which secrete recombinant protein into culture media may be first concentrated using a commercially available protein concentration filter, such as an Amicon or Millipore Pellicon ultrafiltration unit. Following the concentration step, the concentrate may be applied to a suitable purification matrix. For example, a suitable affinity matrix may comprise a counter structure protein (i.e., a protein to which LeIF4A binds in a specific interaction based on structure) or lectin or antibody molecule bound to a suitable support. Alternatively, an anion exchange resin can be employed, for example, a matrix or substrate having pendant diethylaminoethyl (DEAE) groups. The matrices can be acrylamide, agarose, dextran, cellulose or other types commonly employed in protein purification. Alternatively, a cation exchange step can be employed. Suitable cation exchangers include various insoluble matrices comprising sulfopropyl or carboxymethyl groups. Sulfopropyl groups are preferred. Gel filtration chromatography also provides a means of purifying LeIF4A.

Affinity chromatography is a particularly preferred method of purifying LeIF4A polypeptides. For example, a LeIF4A polypeptide expressed as a fusion protein comprising an immunoglobulin Fc region can be purified using Protein A or Protein G affinity chromatography. Moreover, a LeIF4A protein comprising a leucine zipper domain may be purified on a resin comprising an antibody specific to the leucine zipper domain. Monoclonal antibodies against the LeIF4A protein may also be useful in affinity chromatography purification, by utilizing methods that are well-known in the art.

Finally, one or more reverse-phase high performance liquid chromatography (RP-HPLC) steps employing hydrophobic RP-HPLC media (e.g., silica gel having pendant methyl or other aliphatic groups) can be employed to further purify a LbeIF4A protein composition. Some or all of the foregoing purification steps, in various combinations, can also be employed to provide a homogeneous recombinant protein.

Recombinant LeIF4A polypeptide produced in bacterial culture is preferably isolated by initial extraction from cell pellets, followed by one or more concentration, salting-out, aqueous ion exchange or size exclusion chromatography steps. High performance liquid chromatography (HPLC) may be employed for final purification steps. Microbial cells employed in expression of recombinant LeIF4A protein can be disrupted by any convenient method, including freeze-thaw cycling, sonication, mechanical disruption, or use of cell lysing agents.

Fermentation of yeast which express LeIF4A polypeptide as a secreted protein greatly simplifies purification. Secreted recombinant protein resulting from a large-scale fermentation can be purified by methods analogous to those disclosed by Urdal et al. (J. Chromatog. 296:111, 1984). This reference describes two sequential, reverse-phase HPLC steps for purification of recombinant human GM-CSF on a preparative HPLC column. Preparations of LeIF4A polypeptides synthesized in recombinant culture may contain non-LeIF4A cell components, including proteins, in amounts and of a character which depend upon the purification steps taken to recover the LeIF4A protein from the culture. These components ordinarily will be of yeast, prokaryotic or non- human eukaryotic origin. Such preparations are typically free of other proteins which may be normally associated with the LeIF4A protein as it is found in nature in its species of origin.

Automated synthesis provides an alternate method for preparing polypeptides of this invention having fewer than about 100 amino acids, and typically fewer than about 50 amino acids. For example, any of the commercially available solid-phase techniques may be employed, such as the Merrifield solid phase synthesis method, in which amino acids are sequentially added to a growing amino acid chain. (See Merrifield, J. Am. Chem. Soc. 55:2149-2146, 1963.) Equipment for automated synthesis of polypeptides is commercially available from suppliers such as Applied Biosystems, Inc. of Foster City, CA, and may generally be operated according to the manufacturer's instructions. As an alternative to the presentation of LeIF4A polypeptides, the subject invention includes compositions capable of delivering nucleic acid molecules encoding an LeIF4A polypeptide or portion thereof. Such compositions include recombinant viral vectors (e.g., retroviruses (see WO 90/07936, WO 91/02805, WO 93/25234, WO 93/25698, and WO 94/03622), adenovirus (see Berkner, Biotechniques 6:616-621, 1988; Li et al., Hum. Gene Ther. 4:403-409, 1993; Vincent et al., Nat. Genet. 5:130- 134, 1993; and Kolls et al., Proc. Natl. Acad. Sci. USA 97:215-219, 1994), pox virus (see U.S. Patent No. 4,769,330; U.S. Patent No. 5,017,487; and WO 89/01973)), naked DNA (see WO 90/11092), nucleic acid molecule complexed to a polycationic molecule (see WO 93/03709), and nucleic acid associated with liposomes (see Wang et al., Proc. Natl. Acad. Sci. USA 54:7851, 1987). In certain embodiments, the DNA may be linked to killed or inactivated adenovirus (see Curiel et al., Hum. Gene Ther. 5:147-154, 1992; Cotton et al., Proc. Natl. Acad. Sci. USA 59:6094, 1992). Other suitable compositions include DNA-ligand (see Wu et al., J. Biol. Chem. 254:16985-16987, 1989) and lipid- DNA combinations (see Feigner et al., Proc. Natl. Acad. Sci. USA 54:7413-7417, 1989). In addition, the efficiency of naked DNA uptake into cells may be increased by coating the DNA onto biodegradable latex beads.

In addition to direct in vivo procedures, ex vivo procedures may be used in which cells are removed from an animal, modified, and placed into the same or another animal. It will be evident that one can utilize any of the compositions noted above for introduction of LeIF4A nucleic acid molecules into tissue cells in an ex vivo context. Protocols for viral, physical and chemical methods of uptake are well known in the art.

As noted above, the subject invention provides methods of using the polypeptides or related nucleic acid compositions disclosed herein for enhancing or eliciting immune responses. It has been found within the present invention that LeIF4A contains epitope(s) that stimulate proliferation of PBMCs from Leishmania-infected individuals. LbeIF4A also stimulates PBMCs from infected individuals to generate an exclusive Thl cytokine profile. A Thl response is characterized by the production of the cytokines interleukin- 1 (IL-1), interleukin-2 (IL-2), interleukin- 12 (IL-12) or interferon-γ (IFN-γ), as well as tumor necrosis factor-α (TNF-α). IL-12 is a heterodimeric molecule comprising p40 and p35 subunits, which must be coexpressed for the production of biologically active IL-12 p70. The p40 subunit is produced only by IL-12-producing cells and is induced in vitro and in vivo after bacterial and parasite stimulation, whereas the p35 subunit is both ubiquitous and constitutively expressed. Therefore, cells producing IL-12 also have a large excess (10-100 fold) of biologically inactive free p40 chains. The stimulation of IL-12 production is particularly significant as this cytokine has the ability to influence T cells towards a Thl response (IFN-γ and IL-2 production). The ability of a protein to stimulate IL-12 production is therefore an important adjuvant property. LeIF4A also stimulates a Thl profile of mRNAs encoding IFN-γ, IL-2,

IL-12 p40 subunit, and TNF-α, in PBMCs from Leishmania infected patients. No detectable IL-4 or IL-10 mRNA, indicative of a Th2 response, is present in such stimulated PBMCs. In fact, LeIF4A generally down-regulates the expression of such Th2-associated cytokines. In addition, LeIF4A stimulates expression of IL-18 mRNA. These properties of LeIF4A suggest a role for LeIF4A in generating a protective or therapeutic immune response in leishmaniasis patients.

In addition, LeIF4A stimulates the production of IL-12 and IL-2 in PBMCs obtained from uninfected control individuals, as well as in cultured human macrophages, in the human myeloid leukemia cell line THP-1 and in mice. LeIF4A also synergizes with IFN-γ to stimulate THP-1 cells to secrete IL-12, and the induction of IFN-γ production by patient PBMCs is abrogated by the presence of anti-IL-12 antibody. The ability to stimulate IL-12 and IL-2 production indicates that LeIF4A has the ability to induce an immune response, and that the polypeptides described herein have a wide applicability in the non-specific enhancement of immune responses. Accordingly, the present invention discloses methods for enhancing or eliciting, in a patient or cell culture, a cellular immune response (e.g., the generation of antigen-specific cytolytic T cells). The present invention also discloses methods for enhancing or eliciting a humoral immune response to an antigen (e.g., antigen-reactive antibody production) using a LeIF4A polypeptide (i.e., LbeIF4A, LmeIF4A or a variant thereof) as described above. As used herein, the term "patient" refers to any warm- blooded animal, preferably a human. A patient may be afflicted with a disease, such as leishmaniasis (or other infectious diseases) or cancer, such as melanoma, breast cancer, prostate cancer, lymphoma, colon cancer or other tumor, or may be normal (i.e., free of detectable disease and infection). A patient may also, or alternatively, be afflicted with any Th2-mediated disease including, but not limited to, asthma, allergy, Th2 -mediated autoimmune disease or Helminth infection. A "cell culture" is any preparation of PBMCs or isolated component cells (including, but not limited to, macrophages, monocytes, B cells and dendritic cells). Such cells may be isolated by any of a variety of techniques well known to those of ordinary skill in the art (such as Ficoll-hypaque density centrifugation). The cells may (but need not) have been isolated from a patient afflicted with leishmaniasis, or another disorder, and may be reintroduced into a patient after treatment.

Within these methods, the LeIF4A polypeptide (or nucleic acid composition) is administered to a patient or cell culture along with an antigen, such that it functions as an immunomodulating agent to enhance or elicit the immune response to the antigen. Within certain embodiments, one or more Thl -associated cytokines (e.g., IL-2, IL-12, IL-15 and/or IL-18) may also be administered in combination with the LeIF4A polypeptide. The LeIF4A polypeptide may be administered within the same preparation (e.g., vaccine) as the antigen, or may be administered separately. In one embodiment, the antigen and the LeIF4A polypeptide are administered to a patient at the same time and site. In this manner, LeIF4A polypeptides may be used, for example, as adjuvants in vaccine preparations for heterologous agents. In another embodiment, the antigen and LeIF4A polypeptide are administered at different sites on the patient. For example, the LeIF4A polypeptide could be administered (e.g., injected) in one arm, and the antigen administered in the other arm. Such administrations may, but need not, take place at the same time. Alternatively, the LeIF4A polypeptide may be administered before or after the antigen. For example, the LeIF4A polypeptide could be administered 24 hours prior to antigen administration. Suitable doses and methods of administration are presented in detail below.

The immune response generated by a patient to whom a LeIF4A polypeptide is administered may vary, depending on the condition of the patient. For Leishmania-infected patients, the immune responses that may be generated include a preferential Thl immune response (which includes stimulation of IL-12 production) and the down-regulation of expression of Th2-associated cytokines, such as IL-4, IL-5 and/or IL-10. For uninfected individuals, the immune response may be the production of IL-12, the production of IL-2, the stimulation of gamma T cells, the production of interferon, the generation of antigen-reactive CTL, the production of antigen-specific antibodies or any combination thereof. Either type of response provides enhancement of the patient's immune response to the antigen administered with the LeIF4A polypeptide. In addition, for patients with diagnosed cancer, such as melanoma, breast cancer, lymphoma, colon cancer, prostate cancer and the like, the immune response may include a preferential CTL response. For treatment of a tumor, the immune response should result in a reduction in tumor mass.

The LeIF4A polypeptide (or nucleic acid composition) is preferably formulated for use in the above methods as a pharmaceutical composition or a vaccine. Pharmaceutical compositions generally comprise one or more LbeIF4A polypeptides in combination with a physiologically acceptable carrier, excipient or diluent. Such carriers will be nontoxic to recipients at the dosages and concentrations employed. The vaccines comprise one or more LbeIF4A polypeptides and one or more additional antigens appropriate for the indication. The use of LbeIF4A proteins in conjunction with soluble cytokine receptors, cytokines, and chemotherapeutic agents is also contemplated.

Routes and frequency of administration and polypeptide (or nucleic acid composition) doses will vary from individual to individual and may parallel those currently being used in immunization or treatment of other infections. In general, the pharmaceutical compositions and vaccines may be administered by injection (e.g., intramuscular, intravenous or subcutaneous), intranasally (e.g., by aspiration) or orally. The amount and frequency of administration will depend, of course, on such factors as the nature and severity of the indication being treated, the desired response, the condition of the patient, and so forth. Typically, between 1 and 4 doses may be administered for a 2-6 week period. Preferably, two doses are administered, with the second dose 2-4 weeks later than the first. A suitable dose is an amount of LeIF4A polypeptide that stimulates the production of IL-12 in the patient, such that the amount of IL-12 in supernatants of PBMCs isolated from the patient is between about 10 ng and 10 μg per mL. In general, the amount of IL-12 may be determined using any appropriate assay known to those of ordinary skill in the art, including the assays described herein. The amount of LbeIF4A polypeptide present in a dose typically ranges from about 1 pg to about 100 mg per kg of host, typically from about 10 pg to about 1 mg, and preferably from about 100 pg to about 1 μg. Suitable dose sizes will vary with the size of the animal, but will typically range from about 0.01 mL to about 5 mL for 10-60 kg animal. Specific appropriate dosages for a particular indication can be readily determined. Alternatively, cells, preferably peripheral blood mononuclear cells, are removed from a patient and stimulated in vitro with one of the LeIF4A polypeptides and an antigen (including a tumor antigen). Upon generation of an antigen-specific immune response, such as a CTL response, the cells may be expanded and reinfused into the patient. While any suitable carrier known to those of ordinary skill in the art may be employed in the pharmaceutical compositions of this invention, the type of carrier will vary depending on the mode of administration and whether a sustained release administration is desired. For parenteral administration, such as subcutaneous injection, the carrier preferably comprises water, saline, alcohol, a fat, a wax or a buffer. For oral administration, any of the above carriers or a solid carrier, such as mannitol, lactose, starch, magnesium stearate, sodium saccharine, talcum, cellulose, glucose, sucrose, and magnesium carbonate, may be employed. Biodegradable microspheres (e.g., polylactic galactide) may also be employed as carriers for the pharmaceutical compositions of this invention. Suitable biodegradable microspheres are disclosed, for example, in U.S. Patent Nos. 4,897,268 and 5,075,109 and in U.S. Patent Application Nos. 08/116,484 and 08/116,802 (incorporated by reference herein). The polypeptide or polypeptide/antigen combination may be encapsulated within the biodegradable microsphere or associated with the surface of the microsphere. In this regard, it is preferable that the microsphere be larger than approximately 25 microns. Pharmaceutical compositions and vaccines may also contain diluents such as buffers, antioxidants such as ascorbic acid, low molecular weight (less than about 10 residues) polypeptides, proteins, amino acids, carbohydrates including glucose, sucrose or dextrins, chelating agents such as EDTA, glutathione and other stabilizers and excipients. Neutral buffered saline or saline mixed with nonspecific serum albumin are exemplary appropriate diluents. Preferably, product is formulated as a lyophilizate using appropriate excipient solutions (e.g., sucrose) as diluents.

Optionally, any of a variety of additional agents may be employed in the vaccines or pharmaceutical compositions of this invention, in addition to the LeIF4A polypeptide, to further nonspecifically enhance the immune response. Such agents usually contain a substance designed to protect the antigen from rapid catabolism, such as aluminum hydroxide or mineral oil, and a nonspecific stimulator of immune responses, such as lipid A, Bortadella pertussis or Mycobacterium tuberculosis. Such agents are commercially available as, for example, Freund's Incomplete Adjuvant and Complete Adjuvant (Difco Laboratories, Detroit, MI) and Merck Adjuvant 65 (Merck and Company, Inc., Rahway, NJ).

The following examples are offered by way of illustration, and not by way of limitation. Those skilled in the art will recognize that variations of the invention embodied in the examples can be made, especially in light of the teachings of the various references cited herein.

EXAMPLES

EXAMPLE 1 Preparation of DNA Encoding LbeIF4A

This example illustrates the molecular cloning of a DNA sequence encoding the L. braziliensis ribosomal antigen LbeIF4A.

A genomic expression library was constructed with sheared DNA from L. braziliensis (MHOM/BR/75/M2903) in bacteriophage λZAPII (Stratagene, La Jolla, CA). The expression library was screened with E. co/z-preadsorbed patient sera from an L. braziliensis-infected individual with mucosal leishmaniasis. Plaques containing immunoreactive recombinant antigens were purified, and the pBSK(-) phagemid excised using the manufacturer's protocols. Nested deletions were performed with Exonuclease III to generate overlapping deletions for single stranded template preparations and sequencing. Single stranded templates were isolated following infection with VCSM13 helper phage as recommended by the manufacturer (Stratagene, La Jolla, CA) and sequenced by the dideoxy chain terminator method or by the Taq dye terminator system using the Applied Biosystems Automated Sequencer Model 373A.

The immunoreactive recombinant antigens were then analyzed in patient T cell assays for their ability to stimulate a proliferative response, as described in Example 5, below, and a dominant Thl cytokine profile, as described in Example 7, below.

A recombinant clone was identified in the above assays which, following sequence comparison of its predicted amino acid sequence with sequences of other proteins, was identified as a Leishmania braziliensis homologue of the eukaryotic initiation factor 4A (eIF4A). The isolated clone (pLeIF.1) lacked the first 48 amino acid residues (144 nucleotides) of the full length protein sequence. The pLeIF.1 insert was subsequently used to isolate the full length genomic sequence.

SEQ ID NO:l shows the entire nucleotide sequence of the full-length LbeIF4A polypeptide. The open reading frame (nucleotides 115 to 1323) encodes a 403 amino acid protein with a predicted molecular weight of 45.3 kD. A comparison of the predicted protein sequence of LbeIF4A with the homologous proteins from tobacco (TeIF4A), mouse (MeIF4A), and yeast (YeIF4A) shows extensive sequence homology, with the first 20-30 amino acids being the most variable. The lengths (403, 413, 407, and 395 amino acids), molecular weights (45.3, 46.8, 46.4, and 44.7 kDa), and isoelectric points (5.9, 5.4, 5.5, and 4.9) of LbeIF4A, TeIF4A, MeIF4A and YeIF4A, respectively, are similar. LbeIF4A shows an overall homology of 75.5% (57% identity, 18.5% conservative substitution) with TeIF4A, 68.6% (50% identity, 18.6% conservative substitution) with MeIF4A and 67.2% (47.6% identity, 19.6% conservative substitution) with YeIF4A.

EXAMPLE 2 Characterization of the LbeIF4A Gene

This example describes a Southern blot analysis of LbeIF4A DNA in Leishmania species. Leishmania braziliensis (MHOM/BR/75/M2903), L. guyanensis (MHOM/BR/75/M4147) L. amazonensis (IFLA/BPJ67/PH8), L. chagasi (MHOM/BR 82/BA-2,Cl and MHOM/BR 84/Jonas), L. donovani (MHOM/Et/67/HU3), L. infantum (IPT-1), L. major (LTM p-2), L. tropica (1063C), Trypanosoma cruzi (MHOM/CH/00/Tulahuen C2) and T. brucei (TREU 667) were used and have been previously described (see, Burns et al., Proc. Natl. Acad. Sci. U.S.A. 90:115-119, 1993). Promastigotes and epimastigotes were cultured in axenic media. L. chagasi and L. amazonensis amastigotes were obtained from spleens of Syrian hamsters and footpads of BALB/c ByJ mice respectively, and purified as described in Burns et al., J. Immunol. 745:742-748, 1991. Genomic DNA was prepared, digested with enzymes which cut both within (Rst l and Not I) and outside of LbeIF4A (BamR l, EcoR l, EcoR Y, Hind 111, Pvu ll, and Sst I), separated on 0.7% agarose gel and blotted onto Νytran (nylon) membrane, as described in Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, New York, 1989. A restriction fragment comprising a ~0.94 kb fragment (nucleotides 143 to 1083) of the coding region of LbeIF4A was radiolabeled by the random priming method (see, Feinberg and Vogelstein, Anal. Biochem. 757:266-268, 1984) and blots were hybridized overnight at 65°C. Blots were washed twice at 65°C for 20 minutes with each of 2X, 0.5X and 0.2X SSC containing 0.1% SDS. L. braziliensis genomic DNA contained at least two copies of LbeIF4A as exemplified by the presence of two hybridizing bands in the BamH I and Pvu II lanes (Fig. 1).

The same figure also illustrates the cross-species conservation between the eIF4A homologue of L. braziliensis and other Leishmania species. Two major Pst I hybridizing fragments were detected in all other Leishmania species tested with members of the L. donovani complex (L. chagasi, L. donovani, and L. infantum) showing identical hybridization patterns. LbeIF4A also cross-hybridizes with the more distantly related parasite T. cruzi but not T. brucei under stringent hybridization conditions. These data show extensive cross-species conservation of the Leishmania eIF4A homologue.

EXAMPLE 3

Preparation of LbeIF4A

This example illustrates the expression and purification of the ~45 kDa LbeIF4A antigen gene product. The 45 kDa recombinant antigen of the genomic clone pLelFJ (i.e., the antigen lacking the N-terminal 48 residues) was purified from 500 ml of IPTG-induced cultures. The inclusion bodies were isolated and sequentially washed in 10 ml TNE (50 mM Tris, pH 8.0, 100 mM NaCl and 10 mM EDTA) containing 2, 4 and 8 M urea. Fractions containing solubilized recombinant antigen (usually the 4 and 8 M urea supernatants) were pooled, dialyzed against Tris-buffered saline (TBS) and concentrated by precipitation with 30% ammonium sulfate. Purification to homogeneity was accomplished by preparative SDS-PAGE electrophoresis, followed by excision and electroelution of the recombinant antigens. All antigens used in our studies had less than 10 pg/ml or 1 ng/mg protein endotoxin in a Limulus amebocyte assay performed by Immunex Corp., Seattle, WA. These amounts of endotoxin are insignificant for cytokine induction and/or adjuvant activity.

The recombinant antigen was used to immunize a rabbit for the production of a polyclonal anti-serum. An adult rabbit (New Zealand White; R & R Rabbitry, Stanwood, WA) was immunized by subcutaneous immunization with 100 μg of purified LbeIF4A in incomplete Freund's adjuvant (IF A, GIBCO, Grand Island, NY) together with 100 μg of muramyl dipeptide (adjuvant peptide, Calbiochem-

Novabiochem Corp., La Jolla, CA), followed by a boost four weeks later with 100 μg of the recombinant antigen in IFA alone. Three weeks later, the rabbit was boosted intravenously with 25 μg of LbeIF4A in saline and serum was collected one week later.

Immunoblots of L. braziliensis lysates from promastigotes harvested during the early-, mid-, or late-log phases or following a temperature shift of the culture from 22-35 °C were subsequently performed with the polyclonal rabbit anti-serum as a probe (Fig. 2). Panel A of Figure 2 shows the immunoblot analysis of molecular weight markers (lane M), E. coli lysates from uninduced (lane 1) and induced (lane 2) cultures, and the purified recombinant antigen (lane 3). Panel B of Figure 2 shows the immunoblot analysis of L. braziliensis promastigote lysate (lane 1), L. chagasi promastigote lysate (lane 2), and L. amazonensis promastigote (lane 3) or amastigote (lane 4) lysate.

Parasite and mammalian cell lysates were prepared by freeze/thaw lysis of pellets in SDS sample buffer without glycerol and β-mercaptoethanol. Insoluble material was separated from the supernatant by centrifugation at 10K rpm in a microfuge. Protein concentrations were determined using the Pierce BCA protein assay kit. Five to 10 μg of parasite or cell extracts or 0.5 to 1.0 μg of recombinant antigens were separated on 12.5% SDS-PAGE and transferred electrophoretically to nitrocellulose membranes. Reactivities of the antisera were assessed as previously described (Skeiky et al, J. Exp Med. 775:201-211, 1992) using [125i].p_rotein A, followed by autoradiography.

The rabbit anti-serum detected one dominant protein species of size -45 kD. The relative intensities of the 45 kD eIF4A homologue were similar for all the lysates analyzed, thus suggesting that this antigen is constitutively expressed during the early- to mid-log growth phase of the parasite or following a temperature transition that mimics the intracellular amastigote stage. This is unlike members of the Leishmania heat-shock protein family whose products are upregulated following a temperature transition from 22-35 °C. The pre-immune rabbit serum did not react with the parasite lysates.

EXAMPLE 4 Preparation of Monoclonal Antibodies that Bind to LbeIF4A

This example illustrates the preparation of monoclonal antibodies against LbeIF4A. Preparations of purified recombinant LbeIF4A or transfected cells expressing high levels of LbeIF4A, may be employed to generate monoclonal antibodies against LbeIF4A using conventional techniques, such as those disclosed in U.S. Patent No. 4,411,993. Such antibodies may be used to interfere with LbeIF4A activation of PBMCs, as components of diagnostic or research assays for LbeIF4A, or in affinity purification of LbeIF4 A.

To immunize rodents, LbeIF4A immunogen is emulsified in an adjuvant (such as complete or incomplete Freund's adjuvant, alum, or another adjuvant, such as Ribi adjuvant R700 (Ribi, Hamilton, MT), and injected in amounts ranging from 10-100 μg subcutaneously into a selected rodent, for example, BALB/c mice or Lewis rats. Ten days to three weeks days later, the immunized animals are boosted with additional immunogen and periodically boosted thereafter on a weekly, biweekly or every third week immunization schedule. Serum samples are periodically taken by retro-orbital bleeding or tail-tip excision for testing by dot-blot assay (antibody sandwich) or ELISA (enzyme-linked immunosorbent assay). Other assay procedures are also suitable, such as inhibition of the elicitation of a Thl response. Following detection of an appropriate antibody titer, positive animals are given an intravenous injection of antigen in saline. Three to four days later, the animals are sacrificed, splenocytes harvested, and fused to a murine myeloma cell line (e.g., NS1 or preferably Ag 8.653 [ATCC CRL 1580]). Hybridoma cell lines generated by this procedure are plated in multiple microtiter plates in a selective medium (for example, one containing hypoxanthine, aminopterin, and thymidine, or HAT) to inhibit proliferation of non-fused cells, myeloma-myeloma hybrids, and splenocyte-splenocyte hybrids.

Hybridoma lines thus generated can be screened by ELISA for reactivity with LbeIF4A, for example, by adaptations of the techniques disclosed by Engvall et al. (Immunochem. 5:871, 1971) and in U.S. Patent No. 4,703,004. A preferred screening technique is the antibody capture technique described by Beckman et al., J. Immunol. 744:4212 (1990). The hybridoma lines are cloned, for example, by limiting dilution or by cloning in soft agar, to yield a monoclonal cell line. Positive clones are then injected into the peritoneal cavities of syngeneic rodents to produce ascites containing high concentrations (>1 mg/ml) of anti-LbeIF4A monoclonal antibody. The resulting monoclonal antibody can be purified by ammonium sulfate precipitation followed by gel exclusion chromatography. Alternatively, affinity chromatography based upon binding of antibody to protein A or protein G can also be used, as can affinity chromatography based upon binding to LbeIF4A.

EXAMPLE 5 LbeIF4A Stimulation of PBMC Proliferation

This example illustrates the ability of purified recombinant LbeIF4A to stimulate proliferation of PBMCs from L. braziliensis-infected individuals. Peripheral blood was obtained from individuals living in an area (Corte de Pedra, Bahia, Brazil) endemic to L. braziliensis transmission where epidemiological, clinical, and immunological studies have been performed for over a decade. Diagnosis of the patients was made by clinical findings associated with at least one of the following: isolation of parasite from lesions, a positive skin test with Leishmania lysate or a positive serological test. Peripheral blood was collected and PBMCs isolated by density centrifugation through Ficoll™ (Winthrop Laboratories, New York). For in vitro proliferation assays, 2 - 4 x 10⁵ cells/well were cultured in complete medium (RPMI 1640 supplemented with gentamycin, 2-ME, L-glutamine, and 10% screened pooled A+ human serum; Trimar, Hollywood, CA) in 96-well flat bottom plates with or without 10 μg/ml of the indicated antigens or 5 μg/ml PHA (Sigma Immunochemicals, St. Louis, MO) for five days. The cells were then pulsed with 1 μCi of [³H] thymidine for the final 18 hours of culture.

Data are represented as mean cpm of triplicate cultures and the stimulation index (SI) defined as mean cpm of cultures with antigens/mean cpm of cultures without antigen. As shown in Table I and Figure 3, PBMCs from most (>70%) mucosal and active or healed cutaneous patients responded to LbeIF4A with a heterogeneous proliferation pattern with stimulation indices to ranging from 12 to 233 and 2 to 64 respectively.

TABLE I

In Vitro Proliferation of PBMCs from L. braziliensis-infected Individuals in Response to Parasite Lysate and LbeIF4A Antigens

T³HlTdr Incorporation (Mean cpir ι (SD) x l0- ^•3)

PATIENTS MEDIA LYSATE LbeIF4A

S.I. S.I.

MUCOSAL

JV 0.15 (0.0) 41.30(1.3) 294 11.90(4.8) 81

SZ 0.45 (0.1) 140.60(7.6) 308 105.90(5.6) 233

AB 0.42 (0.3) 44.20(0.5) 104 5.00(13) 12

NO 0.38 (0.1) 52.70(3.3) 138 12.80(1.6) 33

TE 0.18 (0.0) 27.40(1.5) 150 8.80(0.3) 48

MB 0.18 (0.0) 300.10(9.4) 1634 41.50(4.5) 226

OM 0.28 (0.0) 35.40(3.2) 124 6.90(2.5) 24

CUTANEOUS

AS 022 (0.0) 19.14(1.3) 87 14.30(23) 64

JP 0.25 (0.0) 55.63(8.6) 218 4.40(03) 17

VS 0.17 (0.0) 0.26(0.0) 1.5 0.3 (0.0) 2

RJ 0.10 (0.0) 0.32(0.2) 3.0 1.5 (0.6) 15

JA 0.16 (0.0) 0.77(0.1) 4.7 2.5 (0.2) 16

AD 4.20 (1.0) 4.01(1.0) 0.0 14.1 (22) 3.5

HN 0.36 (0.0) 4.73(1.7) 13 4.69(1.7) 13 DIFFUSE CUTANEOUS

VAL 0.22 (0.0) 0.51(03) 2.0 2.12(0.2) 9.0

SELF-HEALING CUTANEOUS

GS 0.21 (0.0) 19.70(4.4) 94 41.50(2.8) 198

MS 0.09 (0.0) 0.60(0.1) 6.5 5.10(2.1) 57

AH 0.11 (0.0) 59.60(7.1) 519 9.60(4.7) 83

DJ 0.12 (0.0) 0.20(0.1) 1.6 19.00(6.7) 151

HS 0.12 (0.0) 27.10(2.0) 225 12.40(2.7) 103

MCT 0.38 (0.0) 13030 (14) 340 6.20(1.5) 16

NORMAL

LV 0.14 (0.0) 0.19(0.0) 1.4 0.71(0.1) 4.0

W 0.18 (0.0) 031(0.1) 1.7 0.28(0.1) 1.5

N3 0.14 (0.0) 036(0.1) 2.6 0.27(0.1) 1.9

N4 0.59 (OJ) 2.00(03) 3.8 0.56(0.0) 1.0 In general, the stimulation indices were higher with PBMCs from mucosal individuals. PBMCs from some mucosal patients responded to LbeIF4A with stimulation indices comparable to those observed with parasite lysate. Interestingly, in some patients with cutaneous leishmaniasis, the proliferative responses to LbeIF4A were higher than those elicited by parasite lysate. In contrast to mucosal and cutaneous patients, PBMCs from all six individuals with self healing cutaneous leishmaniasis proliferated in response to LbeIF4A with stimulation indices (16-198) comparable to those of mucosal individuals. PBMCs from two of the self healing individuals (MS and DJ), had responses that were significantly higher than those obtained with parasite lysate. Cells from normal uninfected individuals were only marginally stimulated by LbeIF4A.

EXAMPLE 6

LbeIF4A Stimulation of Cytokine mRNA Expression in PBMCs

This example presents an analysis of cytokine mRNA expression patterns of PBMCs from patients with confirmed cases of L. braziliensis infection. For cytokine mRNA analysis, 0.5 to 1 ml of PBMCs were cultured at 1-2 x 10⁶ cells/ml with or without 10 μg/ml of the LbeIF4A antigen lacking the N-terminal 48 residues of SEQ ID NO:2 (as described in Example 3) for 48 and 72 hours. The supernatants and cells were harvested and analyzed for cytokine mRNAs by polymerase chain reaction (PCR). For cytokine mRNA PCR analysis, total RNA was isolated from the PBMCs using the acid guanidium thiocyanate-phenol-chloroform extraction method, as described by Chomczynski and Sacchi (Anal. Biochem. 752:156-159, 1987). Complementary DNA (cDNA) was synthesized using poly(dT) (Pharmacia) and AMV reverse transcriptase (Bethesda Research Laboratories, Gaithersburg, MD) in a final volume of 20 μl. cDNA samples were brought to 200 μl with water.

Following normalization to β-actin, 12 to 20 μl of diluted cDNA were amplified by PCR using Taq polymerase (Perkin-Elmer Cetus, Norwalk, CT) with 0.2 μ M of the respective 5' and 3' external primers in a reaction volume of 50 μl. The conditions used were: denaturation at 94°C (1 minute for β-actin, IL-2, and IL-4; 45 sec for IFN-γ and 30 sec for IL-10), annealing at 55°C (1 minute for β-actin, IL-2, and IL-4; 30 sec for IL-10) or 60°C for 45 sec for IFN-γ and elongation at 72°C. We verified that our PCR conditions were within the semi-quantitative range by initially performing serial dilutions of the cDNAs and varying the number of cycles used for PCR. In all subsequent experiments, 30 cycles were used in the amplification reactions for β-actin, IL-2, IL-4, and IFN-γ. In the case ofIL-10 PCR, 25 cycles were used.

The primer pairs used and the PCR conditions were from published information; β-actin, IL-2, IL-4 and IFN-γ (Ehlers et al, J. Exp. Med. 775:23-36, 1991) and IL-10 (Viera et al., Proc. Natl. Acad. Sci. U.S.A. 55:1172-1176, 1991). The nucleotide sequences for the 5' and 3' ohgonucleotide primers, respectively, were as follows: (1) β-actin, TGACGGGGTCACCCACACTGTGCCCATCTA and

CTAGAAGCATTGCGGTGGACGATGGAGGG; (2) IL-2, ATGTACAGGATGCA ACTCCTGTCTT and GTCAGTGTTGAGATGATGCTTTGAC; (3) IL-4, ATGGGTCTCACCTCCCAACTGCT and CGAACACTTTGAATATTTCTCT CTCAT; (4) IFN-γ, ATGAAATATACAAGTTATATCTTGGCTTT and

GATGCTCTTCGACCTCGAAACAGCAT; (5) IL-10, TCTCAAGGGGCTGG GTCAGCTATCCCA and ATGCCCCAAGCTGAGAACCAAGACCCA.

Probes were obtained using plasmids containing the human sequences IL-2, IFN-γ and IL-4 (Lewis et al., Proc. Natl. Acad. Sci. U.S.A. 55:9743-9747, 1988) and β-actin (no. 65128; American Type Culture Collection, Rockville, MD), which were digested with Hind Ul/EcoR I, EcoR I, Sac II Hind III, and EcoR I respectively. Human IL-10 cDNA was cloned by PCR from mitogen-stimulated PBMCs from normal donors using ohgonucleotide primers designed to amplify a 535 base pair fragment spanning the entire coding region of human IL-10 (Lewis et al., Proc. Natl. Acad. Sci. U.S.A. 85:9143-9141, 1988). The cDNA was subcloned into pBluescript and digested with BamH II EcoR I. After separation on 1% agarose gels, insert DNA fragments were excised, electroeluted, and purified. Radiolabeled ³²P-probes were prepared by the random priming method. PCR products were analyzed by electrophoresis on 1.5% agarose gels, transferred to nylon membranes, and probed with the appropriate ³²P-labeled DNA insert. Hybridizations were at 55°C overnight. Post hybridization washes were at 55°C for 20 minutes twice each with 2x, and lx SSC containing 0.2% SDS.

The results of these analyses are presented in Figures 4 A and 4B. PCR cytokine analyses were performed with cells prior to culturing (lanes 0), following culturing in the absence of antigen (lanes -), or following culturing in the presence of 10 μg/ml L. braziliensis lysate (lanes Lb) or in the presence of lOμg/ml LbeIF4A (lanes IF). Fig. 4A shows the PCR results of cytokine mRNA for three of the six mucosal patients' PBMCs analyzed (JV, SZ, and TΕ) and one patient (VA) with L. amazonensis infection, manifested as diffuse cutaneous leishmaniasis (DCL). In three of the six mucosal patients (TΕ, Fig. 4A; NO and ΕO, not shown), PBMCs not cultured in vitro had detectable levels of mRNA for IFN-γ and IL-4, as well as IL-2 (patients TE and EO). IL-10 mRNA was not detected in the "resting" PBMCs from any of the mucosal patients. However, following in vitro culturing in the absence of antigen stimulation, the synthesis of IL-10 mRNA was upregulated in most of the mucosal PBMCs analyzed. In addition, the levels of cytokine mRNAs detected in the "resting" PBMCs of patients TE, NO, and EO, decreased to background levels.

Parasite lysate stimulated the expression of mRNAs of the Thl cytokines IFN-γ and IL-2 as well as that of the Th2 cytokine IL-4 (in three of the six patients). Increased IL-10 mRNA was detected in one of the patients' PBMCs (SZ) following culture with the parasite lysate. Both LbeIF4A antigen and parasite lysate elicited the production of mRNA of IFN-γ and IL-2 from all mucosal patient PBMCs with LbeIF4A eliciting an exclusive Thl cytokine profile. In fact, LbeIF4A downregulated the synthesis of IL-10 mRNA detected in the cultured PBMCs of most mucosal patients prior to antigen stimulation. Interestingly, as with the case of using PBMCs from mucosal patients, LbeIF4A also downregulated the synthesis of IL-10 mRNA in the DCL patient VA.

In general, the levels of mRNAs for IFN-γ and IL-2 increased from undetectable amounts prior to antigen stimulation to readily visual levels following antigen stimulation in ethidium bromide stained gels. However, mRNA for the cytokines IL-4 and IL-10, were only detected following radioactive probing of the resolved PCR products, indicating low abundance of these cytokine messages.

Similar PCR analysis was performed on PBMCs derived from cutaneous patients (Fig. 4B). The fresh PBMCs from three (VS, JP and CA (not shown)) of the four patients analyzed revealed high levels of mRNAs for both the Thl (IFN-γ and (IL- 2) and Th2 (IL-4 and IL-10) cytokines examined. mRNAs for IFN-γ and IL-2, but not for IL-10 and IL-4, were detected in the fresh PBMCs of the fourth (AS) cutaneous patient. Therefore, in contrast to mucosal patients, patients with cutaneous leishmaniasis have IL-10 mRNA, in addition to IL-4, IL-2, and IFN-γ, in their fresh PBMCs. Interestingly, while the mRNAs for IL-2 and IFN-γ were reduced to barely detectable levels following the in vitro culturing of PBMCs in the absence of antigen, those for IL-10 remained either unaffected or increased. Therefore, in cutaneous patients, the spontaneous levels of IL-10 mRNA is either stable or their PBMCs continue to synthesize IL-10 mRNA in the absence of antigen stimulation. The observation of such a response for cutaneous leishmaniasis patients can be exploited to differentiate individuals who are predisposed to developing chronic cutaneous leishmaniasis from those who will experience self healing lesions. All cutaneous patients tested responded to LbeIF4A antigen as well as to the parasite lysate by upregulating the synthesis of mRNAs for IL-2 and IFN-γ and, in two of four patients (VS and AS), the level of IL-4 mRNA also increased following stimulation with parasite lysate. In the three patients (VS, JP and CA) with detectable spontaneous levels of IL-10 mRNA, LbeIF4A as well as the parasite lysate downregulated the expression of IL-10, mRNA.

The cytokine mRNA profiles of PBMCs from patients with self-healing CL were similar to those of ML patients in that (a) except for one individual with detectable levels of IL-10 mRNA, fresh PBMCs from three of four patients analyzed had detectable levels of IL-2, IFN-γ and IL-4, but little or no IL-10 mRNA; (b) IL-10 mRNA was upregulated after culture of PBMCs without .antigen, whereas those of IL-2, IFN-γ and IL-4 decreased to background levels; and (c) leishmanial lysate stimulated the expression of a mixed Thl/Th2 cytokine profile, whereas LbeIF4A elicited increased mRNA expression of only the Thl -type cytokines and downregulated the expression of IL- 10 mRNA in the cultured PBMCs of most self-healing individuals (not shown).

EXAMPLE 7 LbeIF4A Stimulation of Cytokine Secretion in PBMCs

This example presents the supernatant levels of secreted cytokines of PBMCs from L. braziliensis-infected individuals following stimulation with LbeIF4A antigen lacking the N-terminal 48 residues of SEQ ID NO:2 (as described in Example 3) or parasite lysate. Aliquots of the PBMC supernatants were assayed for IFN-γ, TNF-α, IL-4, and IL-10. IFN-γ was quantitated by a double sandwich ELISA using mouse anti-human IFN-γ mAb (Chemicon, Temucula, CA) and polyclonal rabbit anti-human IFN-γ serum. Human rIFN-γ (Genentech Inc., San Francisco, CA) was used to generate a standard curve. IL-4 was quantitated in supernatants by a double sandwich ELISA using a mouse anti-human IL-4 mAb (Ml) and a polyclonal rabbit anti-human IL-4 sera (P3). Human IL-4 (Immunex Corp., Seattle, WA) was used to generate a standard curve ranging from 50 pg/ml to 1 ng/ml. IL-10 was measured using a rat anti-human IL-10 mAb (PharMingen, San Diego, CA, Cat. # 1855 ID) to "capture" secreted IL-10 and a biotinylated rat antihuman IL-10 mAb (PharMingen San Diego, CA, Cat. # 18562D) for detection of bound IL-10 with streptavidin conjugated horse radish peroxidase and ABTS as substrate. A standard curve was obtained using human rIL-10 (kindly provided by DNAX Research Institute, Palo Alto, CA), ranging from 30 pg to 2 ng/ml.

Cells from all three patient groups (i.e., mucosal, cutaneous and self- healing cutaneous) secreted IFN-γ and TNF-α following stimulation with either 10 μ g/ml LbeIF4A antigen or 10 μg/ml parasite lysate (Figs. 5 and 6). Similarly, LbeIF4A stimulated PBMCs from patients with L. tropica infection (Desert Storm Patients) to proliferate and secrete IFN-γ (not shown). The levels of both IFN-γ and TNF-α detected in the supernatants of patient PBMCs were significantly higher than those from uninfected controls. In the absence of antigen stimulation, only PBMCs from mucosal patients (five of six) produced detectable levels of supernatant TNF-α (60 to 190 pg/ml). Little or no IL-4 or IL-10 was detected in any of the supernatants analyzed (not shown), indicating levels below the detection limit of the ELISA assay employed. By comparison, leishmanial lysate also stimulated PBMCs to secrete IFN-γ and TNF-α and, in some patients, IL-10 was also detected (not shown). Taken together, the results demonstrate that LbeIF4A stimulated a predominant Thl cytokine profile in PBMCs from L. braziliensis-infected individuals, whereas parasite lysate stimulated a mixed Thl/Th2 cytokine profile.

The levels of TNF-α detected in the supernatants of patient PBMCs from mucosal and self-healing individuals following antigen stimulation were higher than those from cutaneous patients (Fig. 6). PBMCs from four of five mucosal patients (JV, SZ, AB, and MB) had supernatant levels of TNF-α (0.80 to 2.20 ng/ml) higher than those detected in cultures of PBMCs from uninfected controls following stimulation with parasite lysate. Similarly, the same PBMCs were stimulated by LbeIF4A to produce supernatant levels of TNF-α with values ranging from 0.66 to 3.14 ng/ml. Compared to uninfected controls, PBMCs from three (GS, HS, and MCT) out of six self-healing individuals analyzed produced higher levels of TNF-α in response to parasite lysate, and all six (GS, MS, AH, DJ, HS, and MCT) out of six self-healing individuals analyzed produced higher levels of TNF-α in response to LbeIF4A. The levels of TNF-α produced by PBMCs from cutaneous leishmaniasis patients in response to parasite lysate were comparable to uninfected controls. However, LbeIF4A stimulated PBMCs in three of these patients (RJ, AD and JS) to produce TNF-α. Such patients may be in the process of developing acute cutaneous leishmaniasis. EXAMPLE 8 Stimulation of IL-12 Production by LbeIF4A

This example shows that LbeIF4A stimulates PBMCs from L. braziliensis-infected individuals, as well as PBMCs or cultured human macrophages, adherent PBMCs, from the blood of normal donors and the human myeloid leukemia cell-line THP-1, to secrete IL-12. IL-12 has been shown to play a pivotal immunoregulatory role in the development of cell mediated immunity, generation of Thl responses and IFN-γ production in intracellular bacterial or parasitic infections. The LbeIF4A polypeptide used was the LbeIF4A antigen lacking the N-terminal 48 residues of SEQ ID NO: 2 (as described in Example 3).

IL-12 p40 was measured in cell-free supernatants by RIA (detection limit of 10 pg/ml) using the mAb pairs Cl 1J9/C8.6, as described by D' Andrea et al. (J. Exp. Med. 779:1387-1398, 1992). Biologically active IL-12 p70 heterodimer (detection limit 1 pg/ml) was measured as described by Kubin et al. (Blood 83: 1847-1855, 1994).

Fig. 7 A shows that 10 μg/ml LbeIF4A (LeIF) stimulated mucosal patient PBMCs to secrete IL-12 p40 in the cultured supernatant with a magnitude significantly higher than the IL-12 p40 levels observed with 10 μg/ml parasite lysate as antigen (Lb). The amount of IL-12 p40 secreted in the absence of lysate or antigen is also shown (Med). The same figure also shows that 10 μg/ml IL-10 down-regulated the production of IL-12 p40 by patient PBMCs following stimulation with LbeIF4A (LeIF + IL-10) or lysate (Lb + IL- 10).

PBMCs from uninfected individuals also produced IL-12 p40 when cultured with LbeIF4A (LeIF, Fig. 7B), although no p40 was detected in response to parasite lysate (Lb). This may suggest a role for IFN-γ in the lysate-induced p40 observed in patient PBMCs, which produced 5-100 fold more IFN-γ than normal

PBMCs after antigen stimulation (see Fig. 5).

To determine whether the IL-12 p40 observed in antigen-stimulated

PBMC cultures reflected biologically active cytokine, IL-12 p70 was also assayed in these cultures (Figs. 7C and 7D). In general, the p70 production paralleled that of p40, demonstrating that biologically active IL-12 was produced in response to LbeIF4A in both patient and normal PBMCs.

LbeIF4A also stimulates IL-12 production in cultured human macrophages (Fig. 9A) and in adherent PBMCs (Fig. 9B). Adherent cells were prepared from PBMCs separated by Ficoll-hypaque gradient centrifugation from the blood of normal donors. 2 x 10⁶ PBMCs were cultivated for 2 hours in 500μl RPMI, 2% human AB serum. Adherent cells were purified by washing the plates 3 times with PBS. Then 500μl of test medium (RPMI, 2% human AB serum) with the respective stimulus were added (IFN-lOOOU/ml, LbeIF4A (Lf) lOμg/ml). Supernatants were taken after 18 hours. IL-12 production of adherent PBMCs was measured by a capture bio- assay with 5 day old PHA blast. Briefly, the IL-12 capture antibody Cl 1.5.14 (kind gift of the Wistar Institute) was coated on 96 well plates. Supernatants of the induction experiment and recombinant IL-12, as a standard, were incubated for 4 hours. After several wash steps, 5 day old PHA blasts were added and the proliferation of these blasts was used to determine IL-12 concentrations in supernatants of adherent cells.

Macrophages were generated by cultivating adherent cells (2 x 10⁶ PBMCs) for 5 days in test medium. Then, the macrophages were washed in PBS and 500 μl RPMI, 2% human AB serum, and lOOOU/mL IFN-γ was added. Macrophages were stimulated with LbeIF4A (10 μg/ml) or cultivated in medium (M) alone. In one set, LbeIF4A control macrophages were incubated with LbeIF4A in 500 μl RPMI, 2% human AB serum, without IFN-γ. Supernatants were taken after 18 hours and used for induction of IL-12 dependent proliferation. Briefly, 5 day old blasts were incubated with macrophage supernatants for 2 days. For the last 18 hours, ³H thymidine was added. Neutralizing anti-IL-12 polyclonal goat serum (5 μg/ml) was added as indicated. In addition, LbeIF4A stimulates IL-12 p40 production in the human myeloid leukemia cell-line, THP-1 (Fig. 10). The cells were cultured at 10⁶ cells/ml for 24-48 hours in Endotoxin-free RPMI medium containing 5% Fetal Bovine serum. 10 μg/ml LbeIF4A synergized with IFN-γ to stimulate THP-1 cells to secrete IL-12 p40. These results indicate the utility of LbeIF4A as vaccine adjuvant.

EXAMPLE 9 Effect of IL-12 and IL-10 on LbeIF4A Induction of IFN-γ Production

This Example examines the interaction among IL-12, IL-10 and IFN-γ in response to the LbeIF4A polypeptide lacking the N-terminal 48 residues of SEQ ID NO:2 (as described in Example 3). As shown in Fig. 8 A, PBMCs from patients with mucosal leishmaniasis were stimulated with lOμg/ml LbeIF4A in the absence (LeIF) or presence of 10 ng/ml anti-IL-12 (LeIF + Anti-IL-12), or IL-10 (LeIF + IL-10), and the cultured supernatants were assayed for IFN-γ secretion. Both anti-IL-12 mAb and IL- 10 abrogated the production of LbeIF4A-induced IFN-γ secretion. However, anti-IL-12 mAb only partially decreased the production of IFN-γ after stimulation with leishmanial lysate (Fig. 8B). These results show that IFN-γ production is IL-12 dependent, and is inhibited by IL-10, whereas the production of IL-12 is regulated by both IFN-γ dependent and independent pathways.

EXAMPLE 10

LbeIF4A Stimulation of a TH1 Profile in Mice

This example demonstrates that the LbeIF4A polypeptide lacking the N- terminal 48 residues of SEQ ID NO: 2 (as described in Example 3) stimulates a dominant Thl cytokine profile in BALB/c mice. The animals were primed with either LbeIF4A or 8E (the C-terminal portion of the L. braziliensis mitochondrial hsp70, which stimulates patient PBMCs to produce high levels of IL-10) using quilA or CFA as adjuvants. Ten days after priming, lymph node (LN) cells were restimulated in vitro with the recombinant antigens and the supernatant cultures were analyzed for secreted cytokines. The results (Fig. 11) show that LN cells of mice primed with LbeIF4A proliferated and secreted an almost exclusive Thl cytokine (IFN-γ) following challenge with LbeIF4A using both types of adjuvants. In contrast, LN cells from mice primed with 8E produced a ThO response or Thl/Th2 type cytokine (with quilA as adjuvant) with a strong bias towards the Th2 cytokines, IL-4, and IL-10 in specific response to challenge with 8E. Similarly, mice primed with parasite lysate produced a mixed cytokine profile, a result that may argue against the use of parasite lysate alone as vaccine candidate (Fig. 11).

These results indicate that LbeIF4A may be used as an adjuvant, as well as a specific T cell vaccine. Because LbeIF4A induced a powerful Thl response, including the two cytokines most clearly associated with protection in experimental leishmaniasis, IFN-γ and IL-12, we studied the ability of this antigen to protect mice against leishmaniasis. BALB/c mice were immunized once with LbeIF4A with no adjuvant, followed by subcutaneous infection with L. major seven days later. Compared to the control group, LbeIF4A provided significant protection against L. major infection (Fig. 12). Thus a heterologous antigen derived from L. braziliensis can confer some protection to L. major infection, suggesting that, at least some of the "protective" epitopes are conserved between the two parasites. EXAMPLE 11 Preparation of LmeIF4A

This ex.ample illustrates the appropriation of new variant of LbeIF4A from Leishmania major.

A cDNA expression library was constructed with polyA⁺ RNA of L. major using the ZAP-cDNA unidirectional cloning kit (Stratagene, La Jolla, CA). Approximately 500,000 pfu was screened with a radio-labeled DNA probe comprising nucleotides 258 to 1188 of SEQ ID NO. 1. Post-hybridization washes were at 55°C with 0.5x SSC containing 0.1% SDS. This resulted in the identification of a clone containing an approximately 2.5 kb insert (LmeIF4A). Excision of the pBSK (-) phagemid sequences was carried out according to the manufacturer's protocols. Overlapping clones were generated from the cDNA insert by exonuclease III and sequenced by the Taq dye terminator. The approximately 2.1 kb cDNA insert of LmeIF4A was found to contain the entire coding sequence, as well as the 5' spliced leader and 3' flanking sequences. A fragment containing the entire coding sequence of LmeIF4A was amplified by PCR using 5' and 3' specific oligonucleotides. The 5' ohgonucleotide contained an Nde I restriction site preceding the ATG initiation site. When cloned into the Nde I site of the pET vector (Novagen, Madison, WI), the first amino acid of the protein was the initiation code (Met) of the non-fusion recombinant LmeIF4A. Non- fusion full-length rLmeIF4A was produced in E. coli, using the pET plasma vector and a T7 polymerase expression system (Novagen, Madison, WI). The inclusion bodies were isolated and sequentially washed twice in 10 ml of TNE (50 mM TRIS, pH 8.0, 100 mM NaCl, 10 mM EDTA) containing 2, 4, and 8 M urea. The 8 M urea fraction containing a recombinant antigen was applied to a preparative SDS-PAGE gel. Recombinant LmeIF4A was purified either by electroelution from the preparative gel or by HPLC. The final product had negligible levels of bacterial endotoxin, as determined by Limulus assay. Partial sequence analysis of the LmeIF4A cDNA indicated substantial homology (at the nucleotide and amino acid level) (SEQ ID NOS: 3 and 4) to the antigen isolated from L. braziliensis (i.e., greater than 90% amino acid sequence identity). EXAMPLE 12 Elicitation of Antigen-Specific CTL Response

This example illustrates the elicitation of a specific CTL response against soluble ovalbumin using LmeIF4A, prepared as described above.

C57BL/6 mice (H-2^b) were immunized once with 30 μg of soluble ovalbumin (Sigma, St. Louis, MO), either alone (ova alone) or in combination with 50 μg of LmeIF4A encapsulated in poly-lactide-glycolide beads (Southern Research Institute, Birmingham, AL) (Lmeif/PLG). Groups of mice were also immunized with LmeIF4A encapsulated in PLG beads (ova plus Lmeif/PLG) or PLG alone. The size of beads used for the experiment was in the range of 1 to 10 μm.

Three weeks after immunization, mice were sacrificed and the spleens removed. To generate effector cells, spleen cells were prepared and stimulated in vitro with the ova expressing EG7.ova cells, after irradiation (20,000 rad) for five days. The EG7.ova cell line was generated by transfecting the EL4 thymoma cell line (H-2^b) (Infectious Disease Research Institute, Seattle, WA) with the ova cDNA-containing plasmid under the control of β-actin as described (Moore et al, Cell 54:111-1^5 (1988)).

Priming was assessed by the presence of effectors capable of lysing ⁵¹Cr labeled EG7.ova, without lysing ⁵¹Cr labeled non-transfectant parental EL4 cells. The results are shown in Figure 13, and are expressed as % cytotoxicity as a function of effector to target cell ratio. These results demonstrate that mice immunized with soluble ovalbumin in combination with LmeIF4A show an excellent CTL response which killed target cells specifically. No specific CTL elicitation could be detected in mice immunized with either LmeIF4A, PLG or soluble ovalbumin alone.

EXAMPLE 13 Stimulation of Trinitrophenol-specific Antibodies

This example illustrates the enhancement of anti-trinitrophenol (TNP) antibodies using LmeIF4A.

C57BL/6 mice were immunized (day 0) intraperitoneally with 3 μg

TNP-KLH combined with either alum, LmeIF4A (75 μg) or with saline. The mice were bled on day 10, boosted (same as primary) on day 21 and bled on day 26. The sera were tested for TNP specific, isotype specific antibody responses by enzyme-linked immunosorbant assay (ELISA). Data are expressed, in Figure 14, as the log of the dilution of each antiserum that gave a 50 percent of maximum OD in each ELISA, as calculated by linear regression analysis.

These results show a significant enhancement of antibody response by

LmeIF4A, as compared to immunization with antigen alone. Of particular interest, no noticeable increase in IgE, the antibody class most associated with the Th2 response, was found. In addition, primary IgM and IgG antibody responses were enhanced after a single injection of TNP-K-LH (3 μg) with LmeIF4A (75 μg), as described above.

EXAMPLE 14 Enhancement of Production of MUC-1 Specific Antibodies

This example illustrates the use of LmeIF4A to enhance the production of MUC-1 specific antibodies.

C57BL/6 mice were immunized with human tumor antigen MUC-1 in various combinations with LmeIF4A. Groups included mice immunized with soluble MUC-1 with or without soluble LmeIF4A and MUC-1 immobilized on PLG beads with or without soluble LmeIF4A. For MUC-1/PLG experiments, two separate bead sizes were used. One batch of beads were used for 1-10 μm in size while the other ranged from 40-100 μm. Ten, twenty and thirty days after immunization, mice were bled and the sera were tested for the presence of MUC-1 specific antibodies (IgG and IgM). The sera were also tested for the presence of μ, γ2a, γ2b and γl isotypes.

The results, shown in Figure 15, demonstrate that, while one immunization with the MUC-1 or MUC-1 plus LmeIF4A was not sufficient to generate an anti-MUC-1 antibody response, LmeIF4A significantly enhanced the antibody response when MUC-1 was encapsulated in PLG beads. MUC-1 in small PLG beads induced strong anti-MUC-1 responses deductible as early as 10 days after the first immunization and the addition of LmeIF4A to the preparation further enhanced the antibody response. One immunization with MUC-1 in large PLG beads did not produce any detectable anti-MUC-1 antibodies within 10 days of immunization, but an amplified response was observed in mice immunized with MUC-1 in large PLG beads in combination with LmeIF4A. The isotope distribution of anti-MUC-1 antibodies consisted of IgM, IgGγ2a, IgGγ2b, and IgGγl with no IgE response detected. EXAMPLE 15 Enhancement of CTL Activity in Cultured Cells

This example illustrates enhancement of specific CTL activity by LmeIF4A in cultured cells.

Mice were immunized with 30 μg of soluble ovalbumin or the same concentration of ovalbumin encapsulated in PLG beads. After two weeks, spleen cells were removed from immunized mice and stimulated in vitro with no antigen, LmeIF4A alone (10 μg/ml) irradiated EG7.ova or irradiated EG7.ova plus LmeIF4A at the same concentration. The results are shown in Figure 16.

These results indicate that ovalbumin/PLG immunized mice can prime ovalbumin-specific CTL in vivo which can be detected by stimulating responder spleen cells with EG7.ova stimulator cells. Furthermore, CTL generation from ovalbumin/PLG primed spleen cells can be substantially augmented by the addition of LmeIF4A (10 μg/ml) to the EG7.ova containing cultures. It should be noted that in the first in vitro culture with EG7.ova or EG7.ova plus LmeIF4A, total mononuclear cell counts did not differ (see Tables 2 and 3 below).

TABLE II LmeIF4A Enhances CTL Activities Ex Vivo

Lytic Units (LU)/10⁶

Immunized With Stimulated ex vivo with Mononuclear Cells None No antigen 0

LmeIF4A alone 0

EG7.Ova 0

EG7.Ova plus LmeIF4A 0

Bead alone No antigen 0

LmeIF4A alone 0

EG7.Ova 0

EG7.Ova plus LmeIF4A 0

Ova/bead No antigen 0

LmeIF4A alone 0

EG7.Ova 2.5

EG7.Ova plus LmeIF4A 16.6

TABLE III Recovery of Mononuclear Cells from LmeIF4A Containing Cultures

No. of Cells (LU)/10⁶ Recovered/10⁷

Immunized With In Vitro Stimulated With Mononuclear Cells Added

Ova/PLGA No Antigen 1.8

LmeIF4A alone 2.4

EG7.Ova 2.52

EG7.Ova plus LmeIF4A 2.88

Soluble Ova 3.2

Soluble Ova plus LmeIF4A 2.6

We also evaluated whether LmeIF4A can be used to potentiate and expand antigen specific CTL activities in vitro. CTLs generated from ovalbumin PLG- immunized mice discussed above were restimulated in vitro with either irradiated

EG7.ova plus IL-2 or with EG7.ova plus IL-2 and LmeIF4A. After five days of culture, effector cells were tested against ⁵¹Cr-labelled EL4 cells or EG7.ova cells.

The results, shown in Figure 17, indicate that ovalbumin-specific CTL restimulated with EG7.ova plus LmeIF4A and IL-2 killed EG7.ova better than the same effectors generated with EG7.ova plus IL-2 alone, but the difference does not appear to be significant. However, when the cell counts were taken, the culture with LmeIF4A produced 2.5-fold higher cells than the cultures without LmeIF4A. These results, shown below in Table 4, are expressed in lytic units per culture, and demonstrate overall strength of LmeIF4A to expand specific CTL numbers in vitro.

TABLE IV Recovery of Mononuclear Cells from LmeIF4A Containing Cultures

No. of Cells (10⁶)

In Vitro Recovered/10⁶ Total Lytic Units Immunized With Stimulated With Mononuclear (LU50)/Culture

Cells Added

Ova/PLGA sm EG7.Ova plus IL-2 6.4 75.2

Nr

EG7.Ova plus IL-2 16 388.8 and LmeIF4A

EXAMPLE 16 Augmentation of the Induction of Alloreactive CTL by LmeIF4A

This examples illustrates the induction of murine alloreactive CTL by LmeIF4A.

2.5 x 10⁶ BALB/c spleen cells were cultured with 5 x 10⁶ irradiated (3500 R) C57BL/6 spleen cells in 2 ml of RPMLFCS in the presence or absence of 10 μg/ml gel-purified LmeIF4A. Cultures were harvested on day 5, washed and tested at different effector cell concentrations (culture fraction) for cytolytic activity against ⁵¹Cr labelled EL4 cells (2,000/well) in a 4 hr release assay in 200 μl cultures. Data are expressed, in Figure 18, as percent specific release, which is calculated as:

100 x (CPM experimental) - (CPM spontaneous) (CPM maximum) - (CPM spontaneous)

These results indicate that LmeIF4A is capable of significantly enhancing alloreactive CTL. Taken together with the other results described above, the

Leishmania eIF4A homologue appears to have potent adjuvant activity in a variety of assay systems. Furthermore, its ability to induce IL-12, together with its lack of toxicity, makes it a unique adjuvant. EXAMPLE 17 Tumor Regression After Administration of LmeIF4 A and Antigen

Female C57BL/6 (H-2^b) mice of 6-8 weeks of age were immunized once with a subcutaneous injection with 50 μg LmeIF4A either alone or 30 μg encapsulated in poly-lactide-glycolide beads (LbelF/PLG), VSV peptides alone or in PLG beads, GM-CSF in PLG beads, or vehicle (PBS). Nl cells were generated from the EL4 cell by transfection of the VSV (vesicular stomatitis virus) nucleocapsid protein gene. Because the plasmid directing expression of the VSV nucleocapsid protein contains the neomycin resistance gene as a selectable marker, the cell line was maintained in a selective medium containing G418. Recombinant LmeIF4A was produced from E. coli transfectants and purified by HPLC fractionation. Nl -specific peptide antigen was chemically synthesized and also purified by HPLC. Proteins were encapsulated into PLG microspheres by Southern Research Institute (Birmingham, AL). Approximately 2 x 10⁵ Nl cells were inoculated intradermally into the right flank of C57BL/6 mice. After palpable tumors were established, mice were randomized into groups of five and given subcutaneous injections of the various peptides listed above on the opposite flank. Tumor growth was monitored by measuring the diameters of tumors every 2 or 3 days and converting the measurement into volume according to the formula V=4/3 πr³.

The efficacy of LmeIF4A in eliciting immune responses against tumor specific antigens was tested. In the murine tumor Nl, the octameric antigenic peptide epitope RGYVYQGL is constitutively presented by the H-2K^b molecule. As shown in Fig. 19, the injected combination of VSV/PLG and LmeIF4A/PLG resulted in significant suppression of tumor growth. Regression was not observed in the control mice or in mice receiving other combinations of antigens. A second study (Fig. 20) confirmed this result and also demonstrated that LmeIF4A is a much better adjuvant than GM-CSF. In this experiment, tumors started to regress one week after antigen injection in mice administered with the tumor specific VSV/PLG and LmeIF4A/PLG. Indeed, three out of five mice completely rejected their tumors in this particular study. In addition, soluble LeIF also had potent anti-tumor activity in combination with PLG encapsulated VSV peptide (Fig. 21).

In addition, the immune response generated through LmeIF4A and tumor antigen co-immunization was highly specific. The residual tumor mass in mice who did not completely reject Nl tumor was surgically removed. When these tumor cells were cultured in medium containing 0.2 mg/ml G418, they were killed two days later. In contrast, original Nl cells used in the tumor inoculum were resistant to G418. Thus, the residual tumor was derived from Nl mutants that had lost the expression plasmid containing both the antigenic VSV sequence and the neomycin resistance genes. Therefore, LeIF is capable of boosting specific immune response against a predefined antigen, which, in turn, can lead to a therapeutic effect against tumors.

EXAMPLE 18 Treatment of Established Tumors with LmelF

Female C57BL/6 mice were injected s.c. with 2 x l0⁵ Lewis lung carcinoma cells. By eight days following injection, tumors were detected in all mice. Mice were then divided into two groups of five mice each. On days 8, 10, 13, and 16 after tumor inoculation, mice were injected s.c, at a site distant from the tumor, with 0.2 ml saline or 50 μg LmelF in 0.2 ml saline. Tumor growth was measured on days 8, 10, 13, and 16. As shown in the following table, mice receiving LmelF had substantially reduced tumor growth by day 16.

Table V Inhibition of Tumor Growth by LmelF

Average tumor volume in mm³

Group day 8 day 10 day 13 day 16

Saline injected 5.21 12.61 41.06 283.53

Lmeif injected 6.79 10.83 26.75 69.48

EXAMPLE 19

Ability of LeIF to Influence Cytokine Response and Generate LeIF Specific T Cell Clones

This Example illustrates the ability of LeIF to influence the Thl/Th2 cytokine responses and the generation of LeIF specific T cell clones in the absence of adjuvant. A. Nature of LmeIF4A Specific T cell Responses in Leishmania-infected and uninfected BALB/c mice.

Preparation of LmelF 4 A. cDNA encoding LmeIF4A was prepared as described above. Figure 22 shows a comparison of the predicted protein sequence of LmeIF4A (SEQ ID NO:4) with the homologous sequences from L. braziliensis (LbeIF4A; SEQ ID NO:2) mouse (MelF; SEQ ID NO:5) and human (HelF; SEQ ID NO: 6) showing that LmeIF4A has the highest sequence homology to L. braziliensis elF protein with 99.8% total homology (98.3% identity, 1.5% conservative substitution). Both LmeIF4A and LbeIF4A are of identical length with only seven amino acid residue substitutions (six being conservatively over their entire lengths (Figure 22). In contrast, LmeIF4A shows -50% identity with the elF proteins of mouse and human with the N terminal half representing the most variable portion between the elF proteins of Leishmania and those of mouse an human. In fact, it was necessary to introduce gaps in the sequences to allow for maximum alignment between the Leishmania proteins and the mammalian homologues. Despite these differences, all four proteins have a series of conserved motifs arranged in identical order characteristic of the "DEAD box' family of RNA helicases. Two of these conserved sequences represent specialized versions of the A and B motifs previously described in other ATP binding proteins. The four amino sequence Asp-Glu-Ala-Asp (DEAD; SEQ ID NO: 13) is part of the specialized version of the B motif. Motif I (Gly-Thr-Gly-Lys-Thr; SEQ ID NO: 14) corresponds to the A-site of the nucleoside triphosphate (NTP)-binding motif and is found in most nucleotide-binding proteins including ATPases, kinases, and DNA and RNA helicases. Motif II corresponds to the B site of the NTP-binding motif which interacts through the inv.ari.ant "D" residue with the Mg2+ moiety of Mg-ATP. Full length and overlapping L. major rLelF proteins were expressed in E. coli with six histidine residues at the amino-terminal portion immediately following the initiator Met residue (N-terminal His-tag) of the pET plasmid vector (pET-17b) and a T7 RNA polymerase expression system (Novagen, Madison, WI). The cDNA was amplified by PCR from the initial cloned construct in pBSK(-) vector using specific oligonucleotides comprising 5' and 3' sequences. The specific ohgonucleotide primers used for PCR amplification of the LeIF cDNA were as follows: 1) Full length sequence (aminoacid residues 1 to 403: 5' [oligo 1 (SEQ ID NO:7) - CAA TTA CAT ATG CAT CAC CAT CAC CAT CAC ATG GCG CAG AAT GAT AAG ATC GCCJ and 3' [oligo 403 (SEQ ID NO:8) - CAT GGA ATT CCG CTT ACT CGC CAA GGTAGG CAG Q); 2) amino acid residues 1 to 226: 5' oligo- 1 as above and 3' [oligo 226 (SEQ ID NO:9) - CAT GGA ATT CTTA GTC GCG CAT GAA CTT CTT CGT CAG]; 3) amino acid residues 196 to 403: 5' [oligo 196 (SEQ ID NO: 10) - CAA TTA CAT ATG CAT CAC CAT CAC CAT CAC TTC CGC TTC CTG CCG AAG GAC ATC and 3' [oligo-403] as above; and 4) amino acid residues 129 to 261 : 5' [oligo 129 (SEQ ID NO: 11) - CAA TTA CAT ATG CAT CAC CAT CAC CAT CAC GAG ACC TTT GTC GGC GGC ACG CGC] and 3' [oligo 261 (SEQ ID NO: 12) - CAT GGA ATT CTT AC A GGT CCA TCA GCG TGT CCA GCT T]. The 5' and 3' oligonucleotides contain Nde I and EcoR I restriction endonuclease sites (underlined) and primer sequences derived from LeIF sequence are indicated by italics with the ATG initiator and TAA terminator codons in bold. The PCR products were digested with Nde I and EcoR I and ligated into the poly-linker of pET-17b vector pre-digested with Nde I and EcoR I. E. coli strain BL21 (DE3) pLysE (Novagen) was used for high level expression.

The recombinant (His-Tag) antigens were purified from the insoluble inclusion body of 500 ml of IPTG induced batch cultures by affinity chromatography using the one step QIAexpress Ni-NTA Agarose matrix (QIAGEN, Chatsworth, CA) in the presence of 8M urea. Briefly, 20 ml of an overnight saturated culture of BL21 containing the pET construct was added into 500 ml of 2xYT media containing 50 μg/ml ampicillin and 34 μg/ml chloramphenicol, grown at 37°C with shaking. The bacterial cultures were induced with 2mM IPTG at an OD 560 of 0.3 and grown for an additional 3 hours (OD = 1.3 to 1.9). Cells were harvested from 500 ml batch cultures by centrifugation and resuspended in 20 ml of binding buffer (0J M sodium phosphate, pH 8.0; 10 mM Tris-HCl, pH 8.0) containing 2mM PMSF and 20 μg/ml leupeptin. E. coli was lysed by adding 15 mg of lysozyme and rocking for 30 minutes at 4°C following sonication (4 x 30 seconds), then spun at 12 k rpm for 30 minutes to pellet the inclusion bodies. The inclusion bodies were washed three times in 1% CHAPS in 10 mM

Tris-HCl (pH 8.0). This step greatly reduced the level of contaminating LPS. The inclusion body was finally solubilized in 20 ml of binding buffer containing 8 M urea or 8M urea was added directly into the soluble supernatant. Recombinant antigens with His-Tag residues were batch bound to Ni-NTA agarose resin (5 ml resin per 500 ml inductions) by rocking at room temperature for 1 hour and the complex passed over a column. The flow through was passed twice over the same column and the column washed three times with 30 ml each of wash buffer (0J M sodium phosphate and 10 mM Tris-HCL, pH 6.3) also containing 8 M urea. Bound protein was eluted with 30 ml of 100 mM immidazole in wash buffer and 5 ml fractions collected. Fractions containing the recombinant antigen were pooled, dialyzed against 10 nM Tris-HCl (pH 8.0) bound one more time to the Ni-NTA matrix, eluted and dialyzed in 10 mM Tris-HCL (pH 7.8). The yield of recombinant protein varies from 25 - 150 mg per liter of induced bacterial culture with greater than 98% purity. Endotoxin levels were typically <10 EU/mg protein (i.e., <1 ng LPS/mg).

The sizes of the expressed proteins (Figure 23) correlated well with their predicted molecular weights. The yield of purified rLmeIF4A was in the 50 to 100 mg/1 range. The N-terminal sequence of all preparations were confirmed by dire sequencing the purified protein with a Procise 494 sequencer (Perkin Elmer/ Applied Biosystems Division). Western blot analyses of rLmeIF4A with a rabbit anti-sera made against the L. braziliensis eIF4A protein revealed strong specific reactivity. Hereafter, LmelF will be referred to generically as LeIF for Leishmania elF protein.

Immune responses to LmelF by L. major infected BALB/c mice. Infection of BALB/c mice with L. major is commonly used as a model system for cell-mediated immune regulation. These mice are widely accepted as developing a predominant Th2 profile by 7 to 10 days following infection thereby resulting in disease progression. Female, BALB/cByJ and BALB/cByJmn-5c/c7/J mice mice were from Jackson Laboratory (Bar Harbour, ME) and were age-matched (4-6 weeks) within each of the following experiments.

BALB/c female mice (three per group) were immunized with recombinant 8E (a L. braziliensis antigen unrelated to LbeIF4A) or LmelF in PBS. Each mouse received 70 μg of the indicated antigen in a final volume of 200 μl administered subcutaneously and distributed over three sites on the shaved flank. Inguinal, brachial, axillary, and periaortic lymph nodes were removed on day 10.

For proliferation, the lymph node cells were cultured for 72 hours at a density of 4 x lOVwell in 96-well flat bottom plates in the presence of various concentrations of the indicated antigen. The cultures were pulsed with ³[H] -thymidine for the final 16 hours of culture and were harvested onto filters. The incorporation of radioactivity was determined using a Matrix 96 Direct Beta Counter (Packard Instrument Co., Inc).

For infection studies, L. major (Friedlan strain) promastigotes were cultured at 26°C in M199 (GibcoBRL, Gaithersburg, MD) containing 10% FCS (Hyclone, Logan, UT). For in vitro responses, BALB/c mice were infected with 2x10⁵ stationary phase L. major promastigotes in each hind footpad. At 10 and 28 days post-infection, animals were sacrificed and popliteal lymph nodes removed. Single cell suspensions were prepared from the nodes, plated at density of either 2x10⁵ cells per well (96 well flat bottom plates) for analysis of proliferative responses or at 2xl0⁶ cells per well (24 well plate) for cytokine analyses. Cells were pulsed with 1 μCi of [³H] -thymidine after 72 hours of culture and incorporation of radioactivity was determined approximately 16 hours later. Levels of cytokines (IFN-γ and IL-4 ) secreted into the culture supernatants after 72 hours of culture were measured by ELISA. The levels of IFN-γ, IL-10, and IL-4 were determined by sandwich

ELISA, using antibody pairs and procedures available from PharMingen. All determinations of cytokine levels were derived by testing serial dilutions of the supernatants. Standard curves were generated using recombinant mouse cytokines available from Immunex (IL4) or Genzyme (IL-10 and IFN-γ). The ELISAs for IFN-γ and IL-10 were sensitive to 100 pg/ml of the appropriate cytokine and the ELISA for IL4 was sensitive to 20 pg/ml. Hamster anti-CD3 (500A2, gift of Dr. J. P. Allison, U. C. Berkeley, Berkeley, CA) was purified at Immunex. Since IL-10 production always correlated with IL-4 production, but IL-4 production did not always correlate with IL- 10 production, the results for the Th profiles are shown in terms of IL-4 vs IFN-γ production only.

Results. Culture supernatants of antigen-stimulated lymph node cells were analyzed for the production IL-4 and IFN-γ. When cells from infected mice were stimulated in vitro with SLA, high levels of IL-4 and very little IFN-γ were detected. However, the same cultures when stimulated with rLmelF produced high levels of IFN-γ and no IL4. The same result was obtained using mice at both 10 (Figure 24 A) and 28 (Figure 24B) days after infection, by which time a clear Th2 pattern established in terms of disease progression. rLmelF also elicited strong proliferative responses from draining lymph node cells of these L. major-infected BALB/c mice at both early (10 days) and late days) stages infection. By comparison, rLmSTIl (a recently described immunogenic L. major antigen; Webb et al., J. Immunol. 757:5034-5041,1996) yielded a mixed cytokine profile.

To complement the cytokine data, anti-LelF antibody titers in sera from BALB/c mice at 28 days post infection were analyzed for anti-LelF antibodies (Figure 24C). rLelF was diluted in coating buffer (15 mM Na₂HCO₃t28 mM NaH₂CO₃, pH 9.6) and plated onto Corning Easy Wash ELISA plates (Corning Glass Works, Corning, NY) at 1 μg/wells and incubated overnight at 4°C. Plates were then blocked at room temperature with PBS containing 1% BSA for 1 hour). BALB/c mice were infected with 2x10⁵ stationary phase L. major promastigotes in each hind footpad and were used as source of infection sera at 8 weeks post-infection. 100 μl of sera diluted in PBS containing 0.1% BSA and 0.1% Tween-20 were added and incubated at room temperature for 30 minutes. Following removal of unbound antibodies (five washes with PBS containing 0.1% Tween-20), bound antibodies were detected with goat anti- mouse IgG horseradish peroxidase-conjugated secondary antibody (Southern Biotechnology Associates Inc., Birmingham, AL). Plates were developed using TMB and read at 500 nm. Only very low levels of anti-LelF antibody were detected at a serum dilution of 1:1,000. In contrast, the same mice develop extremely high LmSTIl -specific titers (> 1 :200,000) and high antibody titers to SLA. This demonstrates that LeIF induces relatively weak B cell responses during L. major infection. rLelF down regulates the in vitro production of SLA induced IL-4 from draining lymph nodes of infected Balb/c mice. To evaluate the ability of rLelF to down regulate the production of IL-4 by lymphocytes of L. major infected mice, mice were infected for 28 days with L. major, followed by culturing of lymph node cells with SLA. This resulted in the production of IL4, but not IFN-γ by the lymph cells. The addition of various concentrations of rLelF and a fixed amount of SLA to the lymph node cultures caused a nearly complete abrogation of the SLA-induced IL-4 secretion in a dose dependent manner (Figure 25). It was also observed that SLA had no effect on LeIF induced IFN-γ production.

These results indicate that lymph node cells from Leishmania infected BALB/c mice that are stimulated in vitro with soluble leishmanial antigen (SLA), produce a cytokine profile biased towards IL-4. However, the same cells stimulated with LmeIF4A produced high amounts of IFN-γ and no detectable IL-4. The addition of LmeIF4A to SLA resulted in decreased IL-4 production, demonstrating the ability of LmeIF4A to down regulate a Th2 response.

B. Th Responses to LmeIF4A in Naive BALB/c Mice Following Immunization with LbeIF4A in the Absence of Added Adjuvant.

Because IL-12 is a key cytokine that favors the development of Thl responses, the ability of LeIF to induce a LeIF specific Thl profile in naive BALB/c mice in the absence of added adjuvant was evaluated. In this set of experiments, the L. braziliensis elF homologue (LbelF) was used as the immunizing .antigen. Animals were primed with either rLbelF or r8E (another recombinant leishmanial antigen which stimulates patient PBMC to produce high levels of IL-10) in PBS. Both antigens contain the same 4 kD, β-gal N-terminal fusion sequence.

Draining lymph node cells from these animals were first cultured for ten days at 6 x 10⁶/well in a 2 ml volume in the presence of 0.5 μg/ml 8E or 10 μg/ml

LmelF. The short term T cell lines were then cloned by limiting dilution in the presence of 8E or LmelF (0.5 or 10 mg/ml, respectively), irradiated BALB/c splenocytes (2.5 x 10⁵/well) and IL-2 (10 μg/ml). Three weeks later the resulting clones were resuspended in a total volume of 300 μl and were transferred into wells containing immobilized anti-CD3 (0.5 μg/well of a 48 well plate). Supernatants were collected 48 hours later.

T cell lines were assayed for IFN-γ and IL-4. It was found that -90% of the T-cell clones isolated from LeIF-primed mice were Thl, producing IFN-γ and no IL-4, while the remaining 10 % were ThO producing both IFN-γ and IL-4 (Figure 26). In contrast, clones from mice primed with 8E had a mixed cytokine profile. These results suggest that the ability of LeIF to drive a specific Thl response is mediated by an adjuvant activity of LeIF itself.

C. Ability of LmeIF4A to Influence the Early Cytokine Profile in Splenocytes of SCID Mice. To examine the activity of LeIF on spleen cells in the absence of T cells, the above experiments were repeated using splenocytes from SCID mice of two different genetic backgrounds both Leishmania resistant (C3H) and Leishmania susceptible (BALB/c). Briefly, cells from spleens of 6 week old female SCID mice were cultured at 2 x 10⁶ per well and stimulated with 10 μg/ml with rLelF or SLA. At 12, 24, and 72 hours, supernatants from the induced cultures were harvested and the levels of IFN-γ measured. The results demonstrate that LeIF can stimulate the production of high levels of IFN-γ by SCID mouse spleen cells in both genetic background (Figure 27A). In contrast SLA did not stimulate the production of detectable IFN-γ. The IFN-γ production induced by LeIF in SCID splenocytes was IL-12 mediated; the addition of anti-IL-12 antibody abrogated the production of IFN-γ in these cultures (Figure 27 B). These results demonstrate that in SCID mice, LeIF can stimulate IL-12 production which would subsequently stimulate NK cells to produce IFN-γ.

Within a further experiment, cytokine mRNA expression was evaluated in SCID mice splenocytes stimulated with rLelF. Splenocytes from C3H SCID mice were cultured at 5 x 10⁶ cells/well (0.6ml) in the absence (-) or presence (+) of 10 μg/ml of rLelF for 24 hours. Total RNA was isolated and RT-PCR assays performed using cytokine specific primers as indicated in Figure 28. The results indicate that LeIF increases the level of IFN-γ and IL- 18 mRNA, but not IL-10 mRNA.

D. Synergistic Effect between LeIF and Cytokines A synergistic effect of LeIF and certain cytokines was identified in SCID mouse splenocytes. In one experiment, SCID mouse splenocytes (2 x lOVml) were stimulated with IL-18 and LeIF (10 μg/ml) for 72 hours. The supernatant was harvested and the level of IFN-γ assayed as described above. The results, presented in Figure 29, show that the level of IFN-γ increases with increasing amounts of IL- 18 in the presence of LeIF.

In a similar experiment, SCID mouse splenocytes (2 x lOVml) were stimulated with IL-18 and IL-15 (10 or 100 ng/ml) in the presence or absence of LeIF

(10 μg/ml) for 72 hours. The supernatant was harvested and the level of IFN-γ assayed as described above. The results, presented in Figures 30 and 31, show that the presence of IL-15 further enhances the LeIF-induced IFN-γ production in the presence of IL-18.

Within further experiments, IL-15 and IL-18 were shown to increase NK cell cytotoxic activity of SCID mouse splenocytes stimulated with LeIF. SCID mouse splenocytes were incubated with either IL-15 or IL-18 (100 ng/ml), IL-12 (10 U/ml) or both in the presence or absence of LeIF (10 μg/ml) for 24 hours. NK-cell activity was assayed by ⁵¹Cr release from YAC-1 as a target cell. The results in Figures 32 and 33 shows that LeIF enhances the cytotoxic activity of the NK cells stimulated by IL-15 or IL-18.

D. Initial Mapping of Active Regions

The mapping of the active region(s) was initiated by constructing three overlapping LeIF deletions. The recombinant clones were designed to encode the N-terminal half (amino acid residues 1-226), the middle portion (residues 129-261) and the C-terminal half (residues 196-403) of LeIF; (Fig. 2B). Purified proteins were subsequently evaluated for their ability to stimulate IFN-γ production splenocytes from C3H SCID mice by harvesting the cultures at 72 hours post stimulation with LeIF. As shown in Figure 27C, the N-terminal half of LeIF retained the ability to induce IFN-γ with levels that were generally higher than observed with full length LeIF. The middle fragment (129-261) stimulated the production of very low levels of IFN-γ in the same assay. No dectectable IFN-γ was found in supernatants of splenocytes following stimulation with the C-terminal half of LeIF.

The results described herein indicate that LbeIF4A and LmeIF4A polypeptides are powerful and selective activators for Thl cytokines that may be used as a prophylactic and therapeutic vaccine antigen for leishmaniasis. Such polypeptides act through T cell dependent and independent pathways to stimulate production of IL- 12. In the T cell dependent mechanism (as in the generation of LeIF specific Thl clones), activated LeIF specific CD4⁺ T cells would induce IL-12 production from macrophage through CD40-ligand CD40 interactions. However, the ability of LeIF to stimulate splenocytes from SCID mice to produce IFN-γ is a novel finding and suggests that in this T cell independent pathway, LeIF acts by stimulating IL-12 production directly from monocyte/macrophages which would subsequently stimulate NK cells to produce IFN-γ. This surprising finding demonstrates that LeIF can, in the absence of other leishmanial antigens, adjuvant its own T cell response and may help explain the reasons for a predominant bias towards the generation of LeIF specific Thl clones.

From the foregoing, it will be appreciated that, although specific embodiments of the invention have been described herein for the purpose of illustration, various modifications may be made without deviating from the spirit and scope of the invention.

Claims

ClaimsWe claim:

1. A composition comprising an antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

2. The composition of claim 1 wherein the LbeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:2.

3. The composition of claim 1 wherein the LbeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO:2 or a portion thereof.

4. The composition of claim 1 wherein the LbeIF4A polypeptide additionally comprises an immunoglobulin Fc region.

5. A composition comprising an antigen and an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of medicament for enhancing or eliciting an immune response to an antigen in a patient.

6. The composition of claim 5 wherein the LmeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:4.

7. The composition of claim 5 wherein the LmeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO:4 or a portion thereof.

8. The composition of claim 5 wherein the LmeIF4A polypeptide additionally comprises an immunoglobulin Fc region.

9. A composition comprising an antigen and an LbeIF4A polypeptide comprising amino acids 1-403 of SEQ ID NO:2 or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

10. A composition comprising an antigen and an LmeIF4A polypeptide comprising amino acids 1-403 of SEQ ID NO:4 or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

11. The composition of any of claims 1-10 wherein the antigen and the LbeIF4A or LmeIF4A polypeptide are present in the same composition.

12. The composition of any of claims 1-10 wherein the antigen is encapsulated in biodegradable microspheres.

13. The composition of any of claims 1-10 wherein the LbeIF4A or LmeIF4A polypeptide is encapsulated in or associated with the surface of biodegradable microspheres.

14. The composition of any of claims 1-10 wherein the antigen and the LbeIF4A or LmeIF4A polypeptide are encapsulated in biodegradable microspheres.

15. A composition comprising a DNA vaccine and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

16. The composition of claim 15 wherein the LbeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:2.

17. The composition of claim 15 wherein the LbeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO:2 or a portion thereof.

18. The composition of claim 15 wherein the LbeIF4A polypeptide additionally comprises an immunoglobulin Fc region.

19. A composition comprising a DNA vaccine and an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

20. The composition of claim 19 wherein the LmeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:4.

21. The composition of claim 19 wherein the LmeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO:4 or a portion thereof.

22. The composition of claim 19 wherein the LmeIF4A polypeptide additionally comprises an immunoglobulin Fc region.

23. A composition comprising a DNA vaccine and an LbeIF4A polypeptide comprising amino acids 1-403 of SEQ ID NO:2 or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

24. A composition comprising a DNA vaccine and an LmeIF4A polypeptide comprising amino acids 1-403 of SEQ ID NO:4 or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

25. The composition of any of claims 15-24 wherein the DNA vaccine and the LbeIF4A or LmeIF4A polypeptide are present in the same composition.

26. The composition of any of claims 15-24 wherein the DNA vaccine is encapsulated in biodegradable microspheres.

27. The composition of any of claims 15-24 wherein the LbeIF4A or LmeIF4A polypeptide is encapsulated in or associated with the surface of biodegradable microspheres.

28. The composition of any of claims 15-24 wherein the DNA vaccine and the LbeIF4A or LmeIF4A polypeptide are encapsulated in biodegradable microspheres.

29. An LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

30. An LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO: 3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

31. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with an antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

32. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with an antigen and an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

33. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with a DNA vaccine and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

34. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with a DNA vaccine and an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

35. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO:l;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NOJ under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

36. A method of enhancing or eliciting an immune response in a biological sample, comprising contacting a biological sample with an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO: 3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual; and wherein the biological sample comprises cells selected from the group consisting of peripheral blood mononuclear cells, monocytes, B cells, dendritic cells and combinations thereof.

37. A composition comprising a tumor antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO : 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

38. The composition of claim 37 wherein the LbeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:2.

39. A composition comprising a tumor antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3; and (b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO: 3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

40. The composition of claim 39 wherein the LmeIF4A polypeptide comprises .amino acids 49-403 of SEQ ID NO:4.

41. A composition comprising a tumor antigen and an LbeIF4A polypeptide comprising .amino acids 49-403 of SEQ ID NO:2, or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

42. A composition comprising a tumor antigen and an LmeIF4A polypeptide comprising amino acids 49-403 of SEQ ID NO:4, or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

43. A composition comprising a DNA vaccine encoding a tumor antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

44. The composition of claim 43 wherein the LbeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:2.

45. A composition comprising a DNA vaccine encoding a tumor antigen and an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO: 3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

46. The composition of claim 45 wherein the LmeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:4.

47. A composition comprising a DNA vaccine encoding a tumor .antigen and an LbeIF4A polypeptide comprising amino acids 49-403 of SEQ ID NO:2, or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

48. A composition comprising a DNA vaccine encoding a tumor antigen and an LmeIF4A polypeptide comprising amino acids 49-403 of SEQ ID NO:4, or a variant thereof that differs only in conservative substitutions and/or modifications, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

49. An LbeIF4A polypeptide, comprising:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NO:l under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in human peripheral blood mononuclear cells, for use in the manufacture of a medicament for treating a tumor in a patient.

50. An LmeIF4A polypeptide, comprising:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and (b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a CTL response in human peripheral blood mononuclear cells, for use in the manufacture of a medicament for treating a tumor in a patient.

51. The composition of any of claims 39-40 wherein the LbeIF4A or LmeIF4A polypeptide is encapsulated in or associated with the surface of a biodegradable microsphere.

52. The composition of either of claims 49 or 50, further comprising a therapeutic reagent selected from the group consisting of cytokines and chemotherapeutic agents.

53. A composition comprising an antigen and a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

54. A composition comprising an antigen and a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

55. A composition comprising a DNA vaccine and a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

56. A composition comprising a DNA vaccine and a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a DNA vaccine in a patient.

57. A composition comprising a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

58. A composition comprising a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

59. A composition comprising a tumor antigen and a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

60. A composition comprising a tumor antigen and a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

61. A composition comprising a DNA vaccine encoding a tumor antigen and a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to a tumor in a patient.

62. A composition comprising a DNA vaccine encoding a tumor antigen and a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for enhancing or eliciting .an immune response to a tumor in a patient.

63. A composition comprising a viral vector directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for treating a tumor in a patient.

64. A composition comprising a nucleic acid molecule directing the expression of an LbeIF4A or LmeIF4A polypeptide in patient cells transfected with the nucleic acid molecule, for use in the manufacture of a medicament for treating a tumor in a patient.

65. The composition of any of claims 53-64 wherein the polypeptide is an LbeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 115 through 1323 of SEQ ID NO: 1 ;

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 115 through 1323 of SEQ ID NOJ under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual.

66. The composition of claim 65 wherein the LbeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:2.

67. The composition of claim 65 wherein the LbeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO:2 or a portion thereof.

68. The composition of any of claims 53-64 wherein the polypeptide is an LmeIF4A polypeptide comprising an amino acid sequence encoded by a DNA sequence selected from the group consisting of:

(a) nucleotides 117 through 1325 of SEQ ID NO:3 ; and

(b) DNA sequences that hybridize to a nucleotide sequence complementary to nucleotides 117 through 1325 of SEQ ID NO:3 under moderately stringent conditions, wherein the DNA sequence encodes a polypeptide that stimulates a Thl immune response in peripheral blood mononuclear cells obtained from a Leishmania-infected individual.

69. The composition of claim 68 wherein the LmeIF4A polypeptide comprises amino acids 49-403 of SEQ ID NO:4.

70. The composition of claim 68 wherein the LmeIF4A polypeptide comprises amino acids 1-403 of SEQ ID NO: 4 or a portion thereof.

71. The composition of claim 53 or 59 wherein the viral vector also directs the expression of the antigen.

72. The composition of claim 54 or 60 wherein the nucleic acid molecule also directs the expression of the antigen.

73. An (a) LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for treating a Th2-mediated disease in a patient.

74. A composition according to claim 73, wherein the Th2-mediated disease is selected from the group consisting of asthma, allergy or Helminth infection.

75. An (a) LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for decreasing production of one or more Th2-associated cytokines in a patient.

76. A composition according to claim 75, wherein the Th2-associated cytokine is IL-4.

77. A composition according to claim 75, wherein the Th2-associated cytokine is IL-5.

78. An (a) LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for stimulating or enhancing IL-18 production in a patient.

79. A method for enhancing or eliciting an immune response to an antigen in a biological sample, comprising contacting a biological sample with an LeIF4A polypeptide in combination with one or more Thl -associated cytokines.

80. A composition according to claim 79, wherein the Thl -associated cytokines are selected from the group consisting of IL-2, IL-12, IL-15 and IL-18.

81. A composition comprising one or more Thl -associated cytokines in combination with (a) an LeIF4A polypeptide; (b) a nucleic acid molecule directing the expression of an LeIF4A polypeptide in patient cells transfected with the nucleic acid molecule or (c) a viral vector directing the expression of an LeIF4A polypeptide in patient cells infected with the viral vector, for use in the manufacture of a medicament for enhancing or eliciting an immune response to an antigen in a patient.

82. A composition according to claim 81, wherein the Thl -associated cytokines are selected from the group consisting of IL-2, IL-12, IL-15 and IL-18.